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CC BY-NC 4.0 · Arch Plast Surg 2016; 43(04): 374-378
DOI: 10.5999/aps.2016.43.4.374
Idea and Innovation

A Novel Approach to Submandibular Gland Ptosis: Creation of a Platysma Muscle and Hyoid Bone Cradle

Authors

  • Robert Lukavsky

    Department of General Surgery, Temple University Hospital, Philadelphia, PA, USA

  • Gary Linkov

    Department of Otolaryngology, Temple University Hospital, Philadelphia, PA, USA

  • Christopher Fundakowski

    Department of Otolaryngology, Temple University Hospital, Philadelphia, PA, USA
    Fox Chase Cancer Center, Philadelphia, PA, USA
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Submandibular gland ptosis is a common impediment to obtaining superior surgical aesthetic results in neck lift surgery. Techniques for suspending the submandibular gland have been proposed, but these procedures have the drawbacks of disturbing the floor of the mouth mucosa and periosteum. We present an approach of submandibular gland suspension for the treatment of gland ptosis by employing a platysma and hyoid bone fascia cradle. Our technique was performed on cadaveric models. The platysma muscle and hyoid bone cradle for submandibular gland ptosis was created on the left side of the neck in two cadavers. A submental incision with sharp dissection was performed to raise a supraplatysmal flap. A subplatysmal plane was developed until the submandibular gland was identified. Sutures were used to pexy the platysma to the hyoid bone periosteum and deep cervical fascia, tightening the overlying muscle and in turn elevating the submandibular gland. Submandibular gland ptosis must be corrected in order to achieve exemplary aesthetic results. Our approach of creating a cradle with the platysma and hyoid bone avoids the potential complications of previously described sling procedures, while still maintaining the integrity of the gland and surrounding tissues.

Keywords

Rhytidoplasty - Subamandibular - Cosmetics


Publication History

Received: 12 November 2015

Accepted: 04 April 2016

Article published online:
20 April 2022

© 2016. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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