Platysma Flap with Z-Plasty for Correction of Post-Thyroidectomy Swallowing Deformity
A 43-year-old female had the chief complaint of depressed depressed scar on swallowing and neck discomfort on swallowing. She had undergone surgery for a near total thyroidectomy with central node dissection under general anesthesia. The biopsy showed papillary microcarcinoma with metastatic lymph node.\nThe interval between the time of thyroidectomy and the time of operation via platysma flap with Z-plasty was 6 months. Before 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 platysma flap with Z-plasty was performed.\nSix months after surgery, objective and subjective signs had disappeared. The VSS score was 3 points: pigmentation 0, vascularity 2, pliability 1, and height 0. Follow-up lasted for 7 months after surgery was performed ().