The sternocleidomastoid myoperiosteal flap for the reconstruction of a tracheal defect.
The sternocleidomastoid (SCM) myoperiosteal flap offers a relatively simple, single-stage reconstruction of a tracheal defect after conservative resection of an invasive papillary cancer of the thyroid with intraluminal involvement. Vascularised clavicular periosteum provides a viable, pliant, airtight, composite autologous graft with minimal vocal disturbance and a low risk to the parathyroid glands. The operation is not difficult to perform and has an acceptable long-term result even for the occasional operator in the specialised field of tracheal surgery.
Department of Surgery, University of Pretoria.
J H R
JH
Becker
R C
RC
Franz
D000368:Aged; D002968:Clavicle / Q000601:surgery / Q000637:transplantation*; D005260:Female; D006801:Humans; D010521:Periosteum / Q000601:surgery / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013964:Thyroid Neoplasms / Q000473:pathology*; D014132:Trachea / Q000002:abnormalities / Q000601:surgery*; D014134:Tracheal Neoplasms / Q000556:secondary / Q000601:surgery*; D019737:Transplants