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Related Experiment Videos

Sternocleidomastoid myocutaneous flap.

G A Charles, R C Hamaker, M I Singer

    The Laryngoscope
    |August 1, 1987
    PubMed
    Summary

    The sternocleidomastoid myocutaneous flap offers reliable head and neck reconstruction with low complication rates. This modified technique enhances flap viability for facial defects and oral cavity repair.

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    Area of Science:

    • Plastic Surgery
    • Head and Neck Surgery
    • Reconstructive Surgery

    Background:

    • The sternocleidomastoid myocutaneous flap is versatile for head and neck defects, including facial augmentation, carotid artery protection, and oral cavity repair.
    • Previous concerns regarding flap viability and muscle resection during neck dissection have limited its application.

    Purpose of the Study:

    • To evaluate the efficacy and complication rates of a modified sternocleidomastoid myocutaneous flap technique for head and neck reconstruction.
    • To assess the reliability of this flap in a clinical setting.

    Main Methods:

    • A modified sternocleidomastoid myocutaneous flap technique was employed, involving elevation of the sternocleidomastoid muscle with overlying platysma and skin.
    • The tunneled portion of the flap had its epithelium removed to preserve blood supply.
    • Twenty-seven flaps were used in 26 patients for various head and neck reconstructions.

    Main Results:

    • The study reported a significantly lower incidence of flap complications compared to previous literature.
    • Only 11% (3/27) of flaps experienced superficial cutaneous slough, and two patients developed inclusion cysts.
    • This contrasts with reported incidences of 40% to 50% for superficial slough or total flap necrosis.

    Conclusions:

    • The modified sternocleidomastoid myocutaneous flap technique demonstrates improved reliability and reduced complication rates for head and neck reconstruction.
    • This one-stage reconstruction method effectively addresses facial defects, carotid artery protection, and oral cavity repairs without compromising flap viability.

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