[Reconstruction of defects of the oral cavity with the myocutaneous sternocleidomastoid flap].
The sternocleidomastoid (SCM) muscle can be used for a muscular myocutaneous or osteomyocutaneous flap in the reconstruction of cancer and trauma related defects of the oral cavity. The SCM muscle has 3 principal arterial pedicles and a number of minor ones. The superior pedicle is a branch given off in about 70% of cases by the occipital artery, the middle is formed by a branch of the superior thyroid artery, and the inferior pedicle arises from the suprascapular or the transverse cervical artery. We used the SCM myocutaneous flap for the reconstruction of various defects in the middle and lower part of the face and oral cavity. Group of 28 patients was submitted to transfemoral angiography of the external carotid artery and thyreocervical trunc. The dominant vascularisation of the superior pedicle was found in 17 (60%) cases. We used the SCM myocutaneous flap only in cases with dominant vascularisation from superior pedicle and good results were obtained in all cases.
Jović
N
N
Vojnomedicinska akademija, Klinika za maksilofacijalnu hirurgiju, Beograd.
Cvetinović
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009055:Mouth / Q000601:surgery*; D009062:Mouth Neoplasms / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*