&gt;Method to prevent cheek depression using an island sternocleidomastoid muscle flap with the middle pedicle as a feeding vessel in immediate reconstruction of the facial nerve with the sural nerve following resection of a parotid gland tumor

Matsuura, Naoki; Sakuma, Hisashi; Shimono, Ayano

doi:10.5999/aps.2020.00668

Cited by 3 publications

(3 citation statements)

References 10 publications

(12 reference statements)

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“…The middle pedicle, which flows to the middle part of the SCMM, was identified, and ICG fluorography showed that the muscle was stained from the middle pedicle. It was reported that the middle pedicle supplies blood to the entire SCMM in cadavers [13], and we also reported an island SCMM flap technique with only the middle pedicle [14]. The muscle body was dissected in a bipolar manner.…”

Section: Discussionmentioning

confidence: 96%

Sternocleidomastoid Muscle Flap in an Older Patient With Congenital Muscular Torticollis

Matsuura,

Asato,

Ishihara

et al. 2024

Cureus

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Congenital muscular torticollis (CMT) is caused by muscle damage during childbirth, tumors, or masses within the muscles and generally resolves with physical therapy during infancy. In this study, we performed reconstruction after resection of a parotid gland tumor using a sternocleidomastoid muscle (SCMM) flap in an older patient with neglected CMT. The patient was a 64-year-old woman who had had a left-sided oblique neck since infancy but had never received any treatment, including physical therapy. She underwent parotid tumor resection and SCMM flap transfer. The SCMM flap can be safely elevated using indocyanine green fluorescence angiography, with the middle pedicle serving as the feeding vessel to fill the parotid defect. Three months after surgery, the torticollis had improved and the cheek depression was not noticeable, indicating the effectiveness of surgical treatment for CMT in older patients and the possibility of using SCMM as a muscle flap.

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Section: Discussionmentioning

confidence: 96%

Sternocleidomastoid Muscle Flap in an Older Patient With Congenital Muscular Torticollis

Matsuura,

Asato,

Ishihara

et al. 2024

Cureus

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“…These incisions were used for total parotidectomy by some scholars who have conducted procedures on malignant tumors and large-sized masses. 29 However, evidence for such indications is sparse, with relevant retrospective studies involving only a very small number of malignant tumors. Surgical risks include tumor recurrence due to incomplete tumor resection and the inability to perform secondary neck surgery through the same incision.…”

Section: Discussionmentioning

confidence: 99%

“…For malignant tumors of the parotid gland and tumors located deep in the parotid gland and those that are larger in size, the traditional surgical approach is still advocated. These incisions were used for total parotidectomy by some scholars who have conducted procedures on malignant tumors and large-sized masses 29 . However, evidence for such indications is sparse, with relevant retrospective studies involving only a very small number of malignant tumors.…”

Section: Discussionmentioning

confidence: 99%

A Review of Surgical Incisions Used for the Excision of Benign Parotid Tumors

Zeng,

Li,

Saad

et al. 2024

Ann Plast Surg

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Objective To provide surgical references for selecting appropriate parotidectomy incisions, reviewing modified approaches, incision designs, and associated complications. Methods We have systematically searched 5 medical literature databases examining parotidectomy incision designs and postoperative complications from 2008 to 2021. Results There are a total of 9 novel incision designs: 1) posterior auricular hairline incision (PAHI); 2) combined preauricular and retroauricular incision (CPRI); 3) V-shaped incision (VI); 4) N-shaped incision (NI); 5) postaural incision (PI); 6) preauricular crutch incision (PCI); and 7) endaural incision (EI). Simultaneously, there are a total of 8 postoperative complications: 1) infection; 2) salivary fistula; 3) facial nerve palsy/paresis; 4) ear lobule numbness; 5) Frey syndrome; 6) facial deformity; 7) hematoma; and 8) tumor reoccurrence. Conclusions Over the last decade, a surge in modified parotidectomy incisions has been witnessed in clinical practice. This expansion is attributed to rapid technical advancements and a deeper understanding of anatomy and histopathology. These modified approaches contribute significantly to improving cosmetic outcomes, minimizing associated complications, and enhancing patient satisfaction.

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Anatomical and Functional Characteristics of Complex Flaps of the Subclavian Artery Basin in Reconstructive Surgery of the Head and Neck

Fedzhaga,

Kravets,

Pivtorak

et al. 2024

VPBM

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Introduction. Despite the number of conducted studies, the study of intrauterine development of the spinal cord does not lose its relevance. It is one of the structures of the central nervous system, which ensures the interconnection of the structures of the human body with the brain. Also, it provides the transmission of all types of sensitivity and motor impulses. In addition, there was an opportunity to compare recently obtained data with data from ten years ago and perform further in-depth analysis. The study of embryogenesis makes it possible to identify the causes and mechanisms of birth defects of the spinal cord, which is important for the development of their diagnosis, treatment and preventive measures methods. Immunohistochemical methods play the main role, and are important for progress in medicine and biology, as they allow researchers to accurately and specifically study changes in tissues.Object and research methods. 134 preparations of human embryos and fetuses aged from 6-7 to 39-40 weeks of intrauterine development were studied using the immunohistochemical method. Monoclonal antibodies from the company "DacoCytomation" (Denmark) were chosen for the study: vimentin, synaptophysin, Ki-67, CDX2, S-100.The results. The 5-6th week of gestation is characterized by active proliferation processes, which is why a strong expression of Ki-67 was observed. In the future, the proliferation processes gradually fade away, which is directly proportional to the expression of Ki-67. As for S-100, in the embryonic period the expression is weakly expressed and begins to increase and is noted as strong from the 14-15th week of gestation. As for vimentin and CDX-2, they are characterized by strong expression at the end of the embryonic period.Conclusions. Based on the results of immunohistochemical methods, it was found that before the end of the period of intrauterine development, the expression of Ki-67 is weak, and vimentin and CDX-2 are completely absent. Instead, the expression of S-100 and synaptophysin in the studied nuclei is alternately relatively strong.

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>Method to prevent cheek depression using an island sternocleidomastoid muscle flap with the middle pedicle as a feeding vessel in immediate reconstruction of the facial nerve with the sural nerve following resection of a parotid gland tumor

Cited by 3 publications

References 10 publications

Sternocleidomastoid Muscle Flap in an Older Patient With Congenital Muscular Torticollis

Sternocleidomastoid Muscle Flap in an Older Patient With Congenital Muscular Torticollis

A Review of Surgical Incisions Used for the Excision of Benign Parotid Tumors

Anatomical and Functional Characteristics of Complex Flaps of the Subclavian Artery Basin in Reconstructive Surgery of the Head and Neck

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