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February 1980

The Sternocleidomastoid Myocutaneous Flap

Author Affiliations

From the Department of Surgery, Section of Otolaryngology, Yale University School of Medicine, New Haven, Conn.

Arch Otolaryngol. 1980;106(2):74-76. doi:10.1001/archotol.1980.00790260006003

• A myocutaneous flap based on the sternocleidomastoid muscle appears useful in selected circumstances when preservation of the sternocleidomastoid does not compromise oncologic safety. Its principal advantage lies in the single-stage repair of smaller oropharyngeal defects not exceeding 6 cm in diameter. Of the five flaps included in this series, one underwent total cutaneous necrosis; in two of five, partial cutaneous loss developed. Despite varying degrees of epithelial loss, fistulae did not develop because of viable underlying muscle present in this compound flap.

(Arch Otolaryngol 106:74-76, 1980)

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