Pectoral major myocutaneous flap(40 cases) was most commonly used, followed by sternocleidomastoid myocutaneous flap(37 cases) and platysma flap(35 cases). The three types ranked 91% in all tissue flaps.
Methods: From January 1995 to December 2003, 117 patients with tongue carcinoma were performed with radical surgery, and repaired with platysma flap, sternocleidomastoid myocutaneous flap, pectoral major myocutaneous flap, free forearm flap or free dorsal flap of foot.
Methods 164 patients with buccal mucosa cancer were performed with radical surgery,and repaired with platysma flap,sternocleidomastoid myocutaneous flap,pectoral myocutaneous flap,forehead flap,palatal flap,tongue flap or free forearm flap.
Results Among 153 survival flaps,there were 55 infrahyoid myocutaneous flaps,40 platysma flaps,52 sternocleidomastoid flaps and 6 submental island flaps.
Results: There was only onecases about it. The size of the sternocleidomastoid island myocutanneous flap is about 5×3cm,andthe forehead skin flap 10×6cm;
Infrahyoid myocutaneous flaps were used in 60 cases,platysma flaps in 45 cases,sternocleidomastoid flaps in 59 cases and submental island flaps in 8 cases.
Sternocleidomastoid myocutaneous flap for intraoral reconstruction
The results of healing of the sternocleidomastoid myocutaneous flap in 22 patients operated upon because of cancer of the tongue and floor of the mouth are presented.
Anatomical observation and measurement in 50 sides of adult corpses provided reliable data to design of a musculocutaneous flap which consists of the sternal head of the sternocleidomastoid muscle.Since the "marginal branches" of musculo-cutaneousartery are actually the main blood supply of the myocutaneous flap, we design a composite tissue pedicle instead of a muscular pedicle. A technique aiming at protecting the "marginal branch" has been developed, thus the area of the skin flap is expan- ded. As two heads...
Anatomical observation and measurement in 50 sides of adult corpses provided reliable data to design of a musculocutaneous flap which consists of the sternal head of the sternocleidomastoid muscle.Since the "marginal branches" of musculo-cutaneousartery are actually the main blood supply of the myocutaneous flap, we design a composite tissue pedicle instead of a muscular pedicle. A technique aiming at protecting the "marginal branch" has been developed, thus the area of the skin flap is expan- ded. As two heads of the sternocleidomastoid muscle can be separated, one head of the muscle is used safely in repairing large defects in the maxillofacial region, and the operation has been successful in 4 cases.This method not only maintains the function of clavicular head of the muscle, preventing the production of postoperative wryneck, but also allows the use of the innervated sternal head of the muscle to repair the loss of the masseter muscle.
AbstractOn the basis of the anatomical study,theoperating designs and ways of the functionalrepair of the muscle defec ts in the tongue,lip and masseter with the singular sternalhead of sternocleidomastoideus were reported.4l cases (88.24%)of 5l cases were totallysurvived. The advantages of this flap are thatthe tissue quantity iS not so much,the recon-structive operation can be completed in onone-stage,and it is earlier in the functional reco-very of motion and sense.
We used pedicled flaps to treat 12 cases in reconstruction after resection ofcarcinoma of parotid gland (including 5 sternocleidomastoid myocutanecus flape,5 greater pectoral muscle island flaps,2 retroauricular flaps), 12 flaps were living well. combined treatment were perfomed in 10 cases．The report described the appliced anatomy and operation method of flaps．The different flaps of operation connected with lymphatic metastasis and defect limitis．
胸锁乳突肌皮瓣
sternocleidomastoid myocutaneous flap
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