One-stage reconstruction for defects of the mouth using a sternomastoid myocutaneous flap.

Abstract

The sternomastoid muscle has 3 blood supplies: the occipital artery superiorly, the superior thyroid artery in the middle, and the thyrocervical trunk below. We report the use of a myocutaneous flap consisting of a "paddle" of skin on the end of a pedicle of sternomastoid muscle--with the latter based either on its superior or inferior blood supply. Fourteen such flaps have been used successfully in 13 consecutive patients for one-stage reconstructions of defects of the oral cavity and oropharynx. Although there was partial epithelial loss of the skin "paddle" in 7 cases, in each case the surviving dermis became resurfaced with epithelium.

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@article{Ariyan1979OnestageRF, title={One-stage reconstruction for defects of the mouth using a sternomastoid myocutaneous flap.}, author={Stephan Ariyan}, journal={Plastic and reconstructive surgery}, year={1979}, volume={63 5}, pages={618-25} }