Top

Aesthetic Plastic Surgery

Published in:

01-12-2013 | Case Report

Use of a Sternocleidomastoid Myocutaneous Flap Based on the Sternocleidomastoid Branch of the Superior Thyroid Artery to Reconstruct Extensive Cheek Defects

Authors: Kamran Khazaeni, Mohsen Rajati, Aye Shahabi, Leila Mashhadi

Published in: Aesthetic Plastic Surgery | Issue 6/2013

Abstract

Introduction

Reconstruction of head and neck defects has always been challenging due to functional and cosmetic concerns. Although sternocleidomastoid (SCM) flaps have been used for many head and neck defects, use of an SCM flap to reconstruct a cheek defect based only on the superior thyroid artery has not been reported previously.

Case Report

The case of a 40-year-old farmer with a large full-thickness cheek squamous cell carcinoma is reported. An SCM myocutaneous flap based on the SCM branch of the superior thyroid artery was used.

Conclusion

An SCM myocutaneous flap is a valuable option for head and neck reconstructions with reasonable aesthetic results. For properly selected cases, this flap obviates the need to use the pectoralis major or other more distant flaps.

Level of Evidence V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Jianu J (1909) Die chirurgische behandlung der facialislahmung. Deutsche Z Chir 102:377–386CrossRef

Alvi A, Stegnjajic A (1994) Sternocleidomastoid myofascial flap for head and neck reconstruction. Head Neck 16:326–330PubMedCrossRef

Liu DY, Tian XJ, Li C, Sun SS, Xiong YH, Zeng XT (2013) The sternocleidomastoid muscle flap for the prevention of Frey syndrome and cosmetic deformity following parotidectomy: a systematic review and meta-analysis. Oncol Lett 5:1335–1342 (Epub 5 February 2013)PubMed

Sanabria A, Kowalski LP, Bradley PJ, Hartl DM, Bradford CR, de Bree R, Rinaldo A, Ferlito A (2012) Sternocleidomastoid muscle flap in preventing Frey’s syndrome after parotidectomy: a systematic review. Head Neck 34:589–598PubMedCrossRef

Noland SS, Ingraham JM, Lee GK (2011) The sternocleidomastoid myocutaneous “patch esophagoplasty” for cervical esophageal stricture. Microsurgery 31:318–322PubMedCrossRef

Ananthakrishnan N, Parthasarathy G, Maroju NK, Kate V (2007) Sternocleidomastoid muscle myocutaneous flap for corrosive pharyngoesophageal strictures. World J Surg 31:1592–1596PubMedCrossRef

Sa YJ, Kim YD, Kim CK, Park JK, Moon SW (2013) Recurrent cervical esophageal stenosis after colon conduit failure: use of myocutaneous flap. World J Gastroenterol 19:307–310. doi:10.3748/wjg.v19.i2.307 PubMedCrossRef

Sanchez JA, Panait L (2012) Surgical repair of long-segment cervical esophageal injury with a sternocleidomastoid myocutaneous flap. Ann Thorac Surg 94:305–307. doi:10.1016/j.athoracsur.2012.02.006 PubMedCrossRef

Ardon H, Van Calenbergh F, Van Raemdonck D, Nafteux P, Depreitere B, van Loon J, Goffin J (2009) Oesophageal perforation after anterior cervical surgery: management in four patients. Acta Neurochir 151:297–302PubMedCrossRef

10.

Benazzo M, Spasiano R, Bertino G, Occhini A, Gatti P (2008) Sternocleidomastoid muscle flap in esophageal perforation repair after cervical spine surgery: concepts, techniques, and personal experience. J Spinal Disord Tech 21:597–605PubMedCrossRef

11.

Iyoob VA (2013) Postoperative pharyngocutaneous fistula: treated by sternocleidomastoid flap repair and cricopharyngeus myotomy. Eur Spine J 22:107–112. doi:10.1007/s00586-012-2451-4 (Epub 19 September 2012)PubMedCrossRef

12.

Lin CH, Lin CH, Wu CW, Liao CT (2009) Sternocleidomastoid muscle flap: an option to seal off the esophageal leakage after free jejunal flap transfer: a case report. Chang Gung Med J 32:224–229PubMed

13.

Tovi F, Gittot A (1983) Sternocleidomastoid myoperiosteal flap for the repair of laryngeal and tracheal wall defects. Head Neck Surg 5:447–451PubMedCrossRef

14.

Li CH, Li B, Chen F, Chen J (2012) Application of modified sternocleidomastoid myocutaneous flap in hypopharyngeal defect (Chinese). Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 47:146–148PubMed

15.

Laccourreye O, Ménard M, Behm E, Garcia D, Cauchois R, Holsinger FC (2006) Sternocleidomastoid myofascial flap for reconstruction after composite resection of invasive squamous cell carcinoma of the tonsillar region: technique and outcome. Laryngoscope 116:2001–2006PubMedCrossRef

16.

Ariyan S (1997) Further experiences with the sternocleidomastoid myocutaneous flap: a clinical appraisal of 31 cases. Plast Reconstr Surg 99:61–69PubMedCrossRef

17.

Sebastian P, Cherian T, Ahamed MI, Jayakumar KL, Sivaramakrishnan P (1994) The sternomastoid island myocutaneous flap for oral cancer reconstruction. Arch Otolaryngol Head Neck Surg 120:629–632PubMedCrossRef

18.

Zhao W, Zhu H, Xu J, Wang H (2011) Using sternocleidomastoid–clavicle myocutaneous flap to reconstruct compound operative defect of oral carcinoma (Chinese). Hua Xi Kou Qiang Yi Xue Za Zhi 29:537–541PubMed

19.

Kumar V, Gaud U, Shukla M, Pandey M (2009) Sternocleidomastoid island flap preserving the branch from superior thyroid artery for the reconstruction following resection of oral cancer. EJSO Eur J Surg Oncol 35:1011–1015CrossRef

20.

Hu KS, Song WC, Kim SH, Choi SW, Han SH, Paik DJ, Kim HJ, Koh KS (2006) Branching patterns of the arterial branches supplying the middle vascular pedicle of the sternocleidomastoid muscle: a topographic anatomical study with surgical applications for the use of pedicles osteomuscular flaps. Surg Radiol Anat 28:7–12PubMedCrossRef

21.

Kierner AC, Aigner M, Zelenka I, Riedl G, Burian M (1999) The blood supply of the sternocleidomastoid muscle and its clinical implications. Arch Surg 134:144–147PubMedCrossRef

22.

Leclère FM, Vacher C, Benchaa T (2012) Blood supply to the human sternocleidomastoid muscle and its clinical implications for mandible reconstruction. Laryngoscope 122:2402–2406. doi:10.1002/lary.23430 (Epub 24 September 2012)PubMedCrossRef

23.

Wilson JL, Rozen WM, Ross R, Findlay MW, Ashton MW, Behan FC (2012) The superior thyroid artery perforator flap: anatomical study and clinical series. Plast Reconstr Surg 129:641–646. doi:10.1097/PRS.0b013e3182402eb2 PubMedCrossRef

24.

Avery CME (2011) The sternocleidomastoid perforator flap. Br J Oral Maxillofac Surg 49:573–575PubMedCrossRef

Title: Use of a Sternocleidomastoid Myocutaneous Flap Based on the Sternocleidomastoid Branch of the Superior Thyroid Artery to Reconstruct Extensive Cheek Defects
Authors: Kamran Khazaeni
Mohsen Rajati
Aye Shahabi
Leila Mashhadi
Publication date: 01-12-2013
Publisher: Springer US
Published in: Aesthetic Plastic Surgery / Issue 6/2013
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI: https://doi.org/10.1007/s00266-013-0216-z

At a glance: The STEP trials

Springer Medicine

Use of a Sternocleidomastoid Myocutaneous Flap Based on the Sternocleidomastoid Branch of the Superior Thyroid Artery to Reconstruct Extensive Cheek Defects

Abstract

Introduction

Case Report

Conclusion

Level of Evidence V

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Case Report

Conclusion

Level of Evidence V

Please log in to get access to this content

Other articles of this Issue 6/2013

Announcements December 2013

Improved Scar Appearance With Combined Use of Silicone Gel and Vitamin C for Asian Patients: A Comparative Case Series

The Lipo-Facelift: Merging the Face-Lift and Liposculpture: Eight Years Experience and a Preliminary Observational Study

The Infragluteal Sulcus: A Histologic and Ultrasonographic Study

Your Natural Breasts: A Better Way to Augment, Reconstruct, and Correct Using Your Own Fat

Commentary on “Acute Abdomen After Abdominoplasty: Differential Diagnosis”