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Related Experiment Videos

The split sternocleidomastoid myocutaneous flap.

G E Alvarez, J T Escamilla, A Carranza

    British Journal of Plastic Surgery
    |April 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

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    To avoid "flat neck deformity" after facial reconstruction, surgeons can split the sternocleidomastoid muscle and transpose only one portion. This versatile technique preserves neck aesthetics in benign cases.

    Area of Science:

    • Plastic Surgery
    • Reconstructive Surgery
    • Head and Neck Surgery

    Background:

    • The sternocleidomastoid myocutaneous flap is a reconstructive option for facial defects.
    • Complete transposition of the sternocleidomastoid muscle can lead to undesirable neck deformity.
    • This complication discourages its use in benign facial reconstruction.

    Observation:

    • Facial reconstruction using the sternocleidomastoid myocutaneous flap can result in a "flat neck deformity."
    • This deformity arises from the transposition of both muscle portions.
    • The aesthetic concern has limited the application of this flap.

    Findings:

    • Splitting the sternocleidomastoid muscle into its two portions and transposing only one portion effectively avoids neck deformity.

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  • This modified approach maintains reconstructive utility while improving aesthetic outcomes.
  • Five illustrative cases demonstrate the flap's versatility.

    • Implications:

    • The split sternocleidomastoid myocutaneous flap offers a viable solution for facial reconstruction, mitigating aesthetic concerns.
    • This technique expands the applicability of the sternocleidomastoid flap in treating benign facial conditions.
    • Surgeons can confidently utilize this modified flap for improved patient satisfaction in reconstructive procedures.