[Reconstruction of the mandible by an osteomuscular flap from the clavicle on the sternocleidomastoid muscle].
A method for mandible repair with a osteomusculocutaneous flap on the sternocleidomastoid muscle has been developed. This treatment was used in 25 patients. The flap healed in 23 (92%) patients. For plastic repair of the mandible defect with the opposite clavicle, the muscular pedicle was elongated by cutting muscle from the mastoid process. Special attention should be paid to fixation of the cutaneous part of the compound flap so that to prevent its tension and torsion of its pedicle. The presence of cervical metastases and previous radical radiotherapy are contraindications precluding the use of such a flap.
Vyrupaev
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D000328:Adult; D000368:Aged; D002968:Clavicle; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008339:Mandibular Neoplasms / Q000601:surgery*; D008875:Middle Aged; D009334:Neck Muscles; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome