Platysma Flap with Z-Plasty for Correction of Post-Thyroidectomy Swallowing Deformity
A 53-year-old female had a chief complaint of a striking neck scar on swallowing and throat discomfort on swallowing. She had undergone total thyroidectomy with modified node dissection under general anesthesia. The biopsy showed papillary microcarcinoma. The interval between the time of thyroidectomy and the time of operation via platysma flap with Z-plasty was 12 months.\nBefore surgery, she had objective and subjective signs. The VSS score was 8 points: pigmentation 2, vascularity 1, pliability 5, and height 0 ().\nThe scar tissue was completely excised from the skin surface to the subcutaneous tissue layer and a platysma flap with Z-plasty was performed.\nSix months after surgery, the objective and subjective signs had disappeared. The VSS score was 2 points: pigmentation 0, vascularity 1, pliability 1, and height 0. Follow-up was performed until 9 months after surgery ().