The platysma myocutaneous flap

Reconstruction of the primary defect is an integral part of the surgical treatment of head and neck cancer. Free flaps, particularly the radial forearm flap, provide excellent options for intraoral reconstruction of surgical defects. In cases in which the surgical defect is small and the options for free flap use are limited, the platysma myocutaneous flap is a viable option. This flap is thin, pliable, and versatile. It is predictable and easy-to-harvest, and has minimal donor site morbidity. The indications, operative technique, and associated complications are discussed.