Decussation patterns of the platysma in Koreans

Heejin Kim, Kyung-Seok Hu, Min Kyu Kang, In Hyuk Chung, Kun Hwang

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

The importance of the platysma muscle in plastic surgery is well known. During surgery, we have observed that the platysmal fibres do not merely decussate and interlace from each side but that sometimes one side of the muscle overlaps and covers the other side. The aim of this study was to clarify the precise anatomical variations in the decussation and overlapping patterns of the platysma muscle in 70 Korean cadavers. We defined three groups (types I-III) and four patterns (types A-D) according to the length of decussation and the pattern of overlapping, respectively. In 60 specimens (85.7%) we observed decussation and in 10 (14.3%) we did not. In type I there was 0-20 mm of decussating fibres below the mandibular border (43% of specimens). In type II, the decussation of fibres extended over more than 20 mm (43% of specimens). Type III had no decussation (14% of specimens). The proportions of type A (interlacing pattern), type B (right dominant), type C (left dominant) and type D (no decussation) were 41%, 29%, 16% and 14%, respectively. In 45% of the specimens, one side of the platysma covered and overlapped the other side. This is relevant to the removal of the subplatysmal fat in corset platysmaplasty, submental Z-plasty and vertical myectomy of the platysma muscle.

Original languageEnglish
Pages (from-to)400-402
Number of pages3
JournalBritish Journal of Plastic Surgery
Volume54
Issue number5
DOIs
Publication statusPublished - 2001 Jan 1

Fingerprint

Rhytidoplasty
Plastic Surgery
Cadaver
Fats
Muscles
Superficial Musculoaponeurotic System

All Science Journal Classification (ASJC) codes

  • Surgery
  • Otorhinolaryngology

Cite this

Kim, Heejin ; Hu, Kyung-Seok ; Kang, Min Kyu ; Chung, In Hyuk ; Hwang, Kun. / Decussation patterns of the platysma in Koreans. In: British Journal of Plastic Surgery. 2001 ; Vol. 54, No. 5. pp. 400-402.
@article{12e2033c4ac44ac1bbbdcf3d6d6c4d8e,
title = "Decussation patterns of the platysma in Koreans",
abstract = "The importance of the platysma muscle in plastic surgery is well known. During surgery, we have observed that the platysmal fibres do not merely decussate and interlace from each side but that sometimes one side of the muscle overlaps and covers the other side. The aim of this study was to clarify the precise anatomical variations in the decussation and overlapping patterns of the platysma muscle in 70 Korean cadavers. We defined three groups (types I-III) and four patterns (types A-D) according to the length of decussation and the pattern of overlapping, respectively. In 60 specimens (85.7{\%}) we observed decussation and in 10 (14.3{\%}) we did not. In type I there was 0-20 mm of decussating fibres below the mandibular border (43{\%} of specimens). In type II, the decussation of fibres extended over more than 20 mm (43{\%} of specimens). Type III had no decussation (14{\%} of specimens). The proportions of type A (interlacing pattern), type B (right dominant), type C (left dominant) and type D (no decussation) were 41{\%}, 29{\%}, 16{\%} and 14{\%}, respectively. In 45{\%} of the specimens, one side of the platysma covered and overlapped the other side. This is relevant to the removal of the subplatysmal fat in corset platysmaplasty, submental Z-plasty and vertical myectomy of the platysma muscle.",
author = "Heejin Kim and Kyung-Seok Hu and Kang, {Min Kyu} and Chung, {In Hyuk} and Kun Hwang",
year = "2001",
month = "1",
day = "1",
doi = "10.1054/bjps.2001.3612",
language = "English",
volume = "54",
pages = "400--402",
journal = "Journal of Plastic, Reconstructive and Aesthetic Surgery",
issn = "1748-6815",
publisher = "Churchill Livingstone",
number = "5",

}

Decussation patterns of the platysma in Koreans. / Kim, Heejin; Hu, Kyung-Seok; Kang, Min Kyu; Chung, In Hyuk; Hwang, Kun.

In: British Journal of Plastic Surgery, Vol. 54, No. 5, 01.01.2001, p. 400-402.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Decussation patterns of the platysma in Koreans

AU - Kim, Heejin

AU - Hu, Kyung-Seok

AU - Kang, Min Kyu

AU - Chung, In Hyuk

AU - Hwang, Kun

PY - 2001/1/1

Y1 - 2001/1/1

N2 - The importance of the platysma muscle in plastic surgery is well known. During surgery, we have observed that the platysmal fibres do not merely decussate and interlace from each side but that sometimes one side of the muscle overlaps and covers the other side. The aim of this study was to clarify the precise anatomical variations in the decussation and overlapping patterns of the platysma muscle in 70 Korean cadavers. We defined three groups (types I-III) and four patterns (types A-D) according to the length of decussation and the pattern of overlapping, respectively. In 60 specimens (85.7%) we observed decussation and in 10 (14.3%) we did not. In type I there was 0-20 mm of decussating fibres below the mandibular border (43% of specimens). In type II, the decussation of fibres extended over more than 20 mm (43% of specimens). Type III had no decussation (14% of specimens). The proportions of type A (interlacing pattern), type B (right dominant), type C (left dominant) and type D (no decussation) were 41%, 29%, 16% and 14%, respectively. In 45% of the specimens, one side of the platysma covered and overlapped the other side. This is relevant to the removal of the subplatysmal fat in corset platysmaplasty, submental Z-plasty and vertical myectomy of the platysma muscle.

AB - The importance of the platysma muscle in plastic surgery is well known. During surgery, we have observed that the platysmal fibres do not merely decussate and interlace from each side but that sometimes one side of the muscle overlaps and covers the other side. The aim of this study was to clarify the precise anatomical variations in the decussation and overlapping patterns of the platysma muscle in 70 Korean cadavers. We defined three groups (types I-III) and four patterns (types A-D) according to the length of decussation and the pattern of overlapping, respectively. In 60 specimens (85.7%) we observed decussation and in 10 (14.3%) we did not. In type I there was 0-20 mm of decussating fibres below the mandibular border (43% of specimens). In type II, the decussation of fibres extended over more than 20 mm (43% of specimens). Type III had no decussation (14% of specimens). The proportions of type A (interlacing pattern), type B (right dominant), type C (left dominant) and type D (no decussation) were 41%, 29%, 16% and 14%, respectively. In 45% of the specimens, one side of the platysma covered and overlapped the other side. This is relevant to the removal of the subplatysmal fat in corset platysmaplasty, submental Z-plasty and vertical myectomy of the platysma muscle.

UR - http://www.scopus.com/inward/record.url?scp=0034935907&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034935907&partnerID=8YFLogxK

U2 - 10.1054/bjps.2001.3612

DO - 10.1054/bjps.2001.3612

M3 - Article

C2 - 11428770

AN - SCOPUS:0034935907

VL - 54

SP - 400

EP - 402

JO - Journal of Plastic, Reconstructive and Aesthetic Surgery

JF - Journal of Plastic, Reconstructive and Aesthetic Surgery

SN - 1748-6815

IS - 5

ER -