To the Editor.—Regarding the article by Dr Sasaki on the sternocleidomastoid myocutaneous flap, in the Archives (106:74-76, 1980), many head and neck surgeons will find surprising his statement that this flap's "potential went unrecognized for more than 20 years." It is both inaccurate and naive.
The flap has commonly been used by large head and neck surgery departments for many years (since Owens' article in 19551). Also, wellknown articles have appeared in the literature long before the end of the 20-year interval mentioned by Dr Sasaki.2,3
It would be more accurate to say that some surgeons have just recently become aware of the flap.
DUNCAN RE. Surgical Flaps. Arch Otolaryngol. 1980;106(10):655. doi:10.1001/archotol.1980.00790340063021
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