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Related Experiment Video

Updated: Jun 7, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

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Published on: December 5, 2025

The sternocleidomastoid perforator flap.

¹Department of Maxillofacial Surgery, University Hospitals of Leicester, Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, United Kingdom. chrisavery@doctors.org.uk

The British Journal of Oral & Maxillofacial Surgery

|November 2, 2010

Summary

This summary is machine-generated.

This study introduces an improved sternocleidomastoid (SCM) flap technique for head and neck cancer reconstruction. The enhanced SCM flap offers greater rotation and improved vascularity, expanding its reconstructive potential.

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Area of Science:

Head and Neck Surgery
Plastic and Reconstructive Surgery
Oncology

Background:

The traditional sternocleidomastoid (SCM) flap presents limitations in arc of rotation, volume, and vascular supply.
These limitations can hinder effective reconstruction of complex head and neck defects.

Purpose of the Study:

To describe a novel technique for raising an SCM flap utilizing the superior thyroid vascular pedicle.
To evaluate the efficacy of this enhanced SCM flap in reconstructing defects resulting from oncologic resections.

Main Methods:

The technique involves dividing the upper and lower attachments of the sternocleidomastoid muscle.
The flap is based on the perforating vessels of the superior thyroid vascular pedicle.
Reconstruction was performed in four medically or surgically compromised patients.

Main Results:

Successful reconstruction of hemiglossectomy, partial glossectomy, and two mandibular defects in patients with malignancy.
The modified SCM flap demonstrated a significantly increased arc of rotation.
Improved flap vascularity and volume were observed compared to the conventional technique.

Conclusions:

This new SCM flap technique, based on the superior thyroid vascular pedicle, offers a valuable alternative for head and neck reconstruction.
The enhanced arc of rotation and vascularity expand the clinical applications of the SCM flap, particularly in compromised patients.