• 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)
Clarence T. Sasaki. The Sternocleidomastoid Myocutaneous Flap. Arch Otolaryngol. 1980;106(2):74–76. doi:10.1001/archotol.1980.00790260006003