Hostname: page-component-7c8c6479df-24hb2 Total loading time: 0 Render date: 2024-03-28T17:48:39.096Z Has data issue: false hasContentIssue false

Experiences with the sternocleidomastoid muscle and myocutaneous flaps

Published online by Cambridge University Press:  29 June 2007

Rammohan Tiwari*
Affiliation:
Amsterdam, The Netherlands
*
R. M. Tiwari, M.S., F.R.C.S., Ph.D., Associate Professor, Department of Otolaryngology, Free University HospitalDe Boelelaan 1117, Postbus 7057, 1007 MB Amsterdam, The Netherlands.

Abstract

The use of the sternocleidomastoid muscle and musculocutaneous flaps in the reconstruction of defects arising after surgery for cancer of the head and neck has been a subject of some discussion.

Experience with these flaps over a ten year period from 1980 until 1989 is presented. Attention is drawn to the various types of flaps in vogue, their indications to date, benefits and drawbacks. A new reliable compound musculocutaneous flap developed by the author for use in defects of the skull base after total temporal bone excision is presented.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ariyan, S. (1979) One stage reconstruction for defects of the mouth using a sternomastoid myocutaneous flap. Plastic and Reconstructive Surgery, 63: 618625.CrossRefGoogle ScholarPubMed
Alvarez, G. E., Escamilla, J. T., Carranza, A. (1983) The split sternocleidomastoideus myocutaneous flap. British Journal of Plastic Surgery, 36: 183186.CrossRefGoogle Scholar
Bocca, E., Pignataro, O. (1967) A conservation technique in radical neck dissection. Annals of Otology, Rhinology and Laryngology, 76: 975988.CrossRefGoogle ScholarPubMed
Casler, J. D., Conley, J. J., Patow, C. A. (1989) Sternocleidomastoid muscle flap in parotidectomy surgery. Proceedings of the fifth international symposium of the American Academy of Facial Plastic and Reconstructive Surgery Toronto,June 25–29. In press.Google Scholar
Cho, H. T., Mignogna, F., Garay, K., Blitzer, A. (1983) Delayed failure of myocutaneous flaps in head and neck reconstruction. Laryngoscope, 93: 1719.CrossRefGoogle ScholarPubMed
Conley, J. (1980) The sternocleidomastoid muscle flap. Head and Neck Surgery, 2: 308311.CrossRefGoogle ScholarPubMed
Donski, P., McCraw, J. B. (1979) Myocutaneous flaps in head and neck reconstruction. Chirurgia Plastica (Berlin), 4: 255261.Google Scholar
Eliachar, I., Moscona, A. R. (1981) Reconstruction of the laryngotracheal complex in children using the sternocleidomastoid myocutaneous flap. Head and Neck Surgery, 4: 1621.CrossRefGoogle ScholarPubMed
Friedman, M., Grybauskas, V., Toriumi, D. M., Chilist, Skolnik E. (1987) Sternocleidomastoid myoperiosteal flap for reconstruction of the subglottic larynx. Annals of Otology, Rhinology and Laryngology, 96: 163169.CrossRefGoogle ScholarPubMed
Hill, H. L., Brown, R. G. (1978) The sternocleidomastoid flap to restore facial contour in mandibular reconstruction. British Journal of Plastic Surgery, 31: 143146.CrossRefGoogle ScholarPubMed
Jabaley, M. E., Heckler, F. R., Walace, W. H., Knott, L. H. (1979) Sternocleidomastoid regional flaps. A new look at an old concept. British Journal of Plastic Surgery, 32: 106113.Google Scholar
Larson, D. L., Goepfert, H. (1982) Limitations of the sternocleidomastoid musculocutaneous flap in head and neck cancer reconstruction. Plastic and Reconstructive Surgery, 70: 328333.CrossRefGoogle ScholarPubMed
Littlewood, H. (1967) Compound skin and sternomastoid flaps for repair in extensive carcinoma of the head and neck. British Journal of Plastic Surgery, 20: 403419.CrossRefGoogle ScholarPubMed
McCraw, J. B., Magee, W. P., Kalwaic, H. (1979) Uses of the trapezius and sternomastoid myocutaneous flaps in head and neck reconstruction. Plastic and Reconstructive Surgery, 63: 4957.Google Scholar
Marx, R. E., McDonald, D. K. (1985) The sternocleidomastoid muscular or myocutaneous flap for oral and facial reconstruction, 43: 155162.Google Scholar
Matulik, Z., Barcovic, M., Mikolji, V. (1978) Tongue reconstruction by means of sternocleidomastoid muscle and forehead flap. British Journal of Plastic Surgery, 31: 147151.CrossRefGoogle Scholar
Medina, J. E., Byers, R. M. (1989) Supraomhyoid neck dissection, rational indications and surgical technique. Head & Neck Surgery, 11: 111122.Google Scholar
Owens, N. (1955) A compound neck pedicle designed for the repair of massive facial defects, formation development and application. Plastic and Reconstructive Surgery, 15: 169199.CrossRefGoogle ScholarPubMed
Parkash, S., Ramakrishnan, K., Ananthakrishnan, N. (1980) Sternomastoid based island flap for lining after resection of oral carcinomas. British Journal of Plastic Surgery, 33: 115118.Google Scholar
Sasaki, C. T. (1980) The sternocleidomastoid myocutaneous flap. Archives of Otolaryngology, 106: 7476.CrossRefGoogle ScholarPubMed
Siemenson, S. O., Kirby, B., O'Connor, T. P. E. (1978) Immediate reconstruction of a resected segment of the lower jaw using a compound flap of clavicle and sternomastoid muscle. Plastic and Reconstructive Surgery, 61: 724735.CrossRefGoogle Scholar
Stegnjajic, A., Shikowitz, M., Guberina, L. (1989) Glottic reconstruction with thyroid perichondrium, investing cervical fascia and laryngeal stent. Proceedings of the XIV World Congress of Otorhinolaryngology Head and Neck Surgery Madrid,September 10–15. In press.Google Scholar
Tiwari, R. (1985) Reconstruction after temporal bone resection. Journal of Laryngology and Otology, 99: 143146.CrossRefGoogle ScholarPubMed
Toomey, J. M., Jacobs, J. R. (1980) The extended sternocleidomastoid flap for one stage repairs of defects of the oral cavity. Laryngoscope, 90: 886888.CrossRefGoogle ScholarPubMed