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The sternocleidomastoid muscle flap

J Conley, P J Gullane

    Head & Neck Surgery
    |March 1, 1980
    PubMed
    Summary

    The sternocleidomastoid muscle is a versatile flap for head and neck reconstruction after surgery. It aids in facial paralysis rehabilitation, soft-tissue defect repair, and protecting vital arteries.

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    Area of Science:

    • Reconstructive surgery
    • Head and neck surgery
    • Plastic surgery

    Background:

    • Radical ablative surgery for head and neck cancers often results in significant defects.
    • Reconstruction of these defects is crucial for function and aesthetics.
    • The sternocleidomastoid muscle is a potential reconstructive option.

    Purpose of the Study:

    • To explore the diverse applications of the sternocleidomastoid muscle flap in head and neck reconstruction.
    • To detail its use in rehabilitating facial paralysis and repairing soft-tissue defects.
    • To highlight its role in protecting major vascular structures.

    Main Methods:

    • The sternocleidomastoid muscle can be transposed as a pedicle flap for mandibular reconstruction.
    • It can be utilized as a myocutaneous flap for oral cavity defects.
    • Its application in facial reanimation and vascular protection is described.

    Main Results:

    • The sternocleidomastoid muscle flap offers versatile solutions for mandibular and soft-tissue defects.
    • It effectively rehabilitates facial paralysis and protects critical arteries like the carotid.
    • Functional recovery, such as shoulder elevation after poliomyelitis, can also be achieved.

    Conclusions:

    • The sternocleidomastoid muscle is a valuable and adaptable flap in head and neck reconstructive surgery.
    • Its application extends to defect repair, functional restoration, and vascular protection.
    • This muscle flap provides significant benefits for patients undergoing extensive head and neck ablative procedures.

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