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

Khazaeni, Kamran; Rajati, Mohsen; Shahabi, Aye; Mashhadi, Leila

doi:10.1007/s00266-013-0216-z

Cited by 9 publications

(13 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…20 proposed that the branch from the superior thyroid artery is the main blood supply to the sternocleidomastoid. Their view was supported by Khazaeni and colleagues’ successful results, 21 basing their flaps on only the middle pedicle. Other reports suggest that the branch from the superior thyroid artery splits to supply the sternal and clavicular heads separately, thus allowing the muscle to be divided and one head to be taken as a flap.…”

Section: Arterial Supply Of Sternocleidomastoidmentioning

confidence: 89%

See 1 more Smart Citation

Revisiting the sternocleidomastoid flap as a reconstructive option in head and neck surgery

et al. 2019

View full text Add to dashboard Cite

BackgroundThe sternocleidomastoid can be used as a pedicled flap in head and neck reconstruction. It has previously been associated with high complication rates, likely due in part to the variable nature of its blood supply.ObjectiveTo provide clinicians with an up-to-date review of clinical outcomes of sternocleidomastoid flap surgery in head and neck reconstruction, integrated with a review of vascular anatomical studies of the sternocleidomastoid.MethodsA literature search of the Medline and Web of Science databases was conducted. Complications were analysed for each study. The trend in success rates was analysed by date of the study.ResultsReported complication rates have improved over time. The preservation of two vascular pedicles rather than one may have contributed to improved outcomes.ConclusionThe sternocleidomastoid flap is a versatile option for patients where prolonged free flap surgery is inappropriate. Modern vascular imaging techniques could optimise pre-operative planning.

show abstract

Section: Arterial Supply Of Sternocleidomastoidmentioning

confidence: 89%

“…4,20,27 Although two pedicles can limit flap rotation, 18 Khazaeni et al . 21 overcame this by dissecting the middle pedicle to its maximal length. Noland et al .…”

Section: Discussionmentioning

confidence: 99%

Revisiting the sternocleidomastoid flap as a reconstructive option in head and neck surgery

et al. 2019

View full text Add to dashboard Cite

show abstract

“…In situations, where more length of the ap is required, the STA was ligated distal to the SCM branch 3 . Tiwari et al 4 have described their series of 18 successful cases of SCM aps, of which 3 aps were done for temporal bone resection defects. In these 3, they detached the muscle from the temporal bone, and none of the muscular branches of occipital artery were preserved.…”

Section: Discussionmentioning

confidence: 99%

Sternocleidomastoid Flap for Pedicled Reconstruction in Head & Neck Surgery- Revisiting the Anatomy and Technique

Srivastava¹,

Kumar

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Previous studies on sternocleidomastoid flaps, have defined the importance of preserving sternocleidomastoid (SCM) branch of superior thyroid artery (STA). This theory drew criticism, as this muscle is known to be a type II muscle, i.e., the muscle has one dominant pedicle (branches from the occipital artery at the superior pole) and smaller vascular pedicles entering the belly of muscle (branches from STA and thyrocervical trunk) at the middle and lower pole respectively. It was unlikely for the SCM branch of STA to supply the upper and lower thirds of the muscle. We undertook a cadaveric angiographic study to investigate distribution of STA supply to SCM muscle.Methods: It is a prospective study on 10 cadaveric SCM muscles along with ipsilateral STA which were evaluated with angiography using diatrizoate (urograffin) dye. Radiographic films were interpreted looking at the opacification of the muscle. Results were analyzed using frequency distribution and percentage. Results:Out of ten specimens, near complete opacification was observed in eight SCM muscle specimens. While one showed poor uptake in the lower third of the muscle, the other showed poor uptake in the upper third segment of muscle. Conclusion: Based on the above findings we propose to re-classify sternocleidomastoid flap as a type III flap as the STA branch also supplies the whole muscle along with previously described pedicle from occipital artery. However, this needs to be further corroborated intra-operatively using scanning laser doppler.

show abstract

“…Greater knowledge of the vascular anatomy of this muscle has made it possible to improve the harvesting technique, thus enabling the fl ap to be converted to a pedicle perforator fl ap and improving the arc of rotation of the pedicle. Consequently, as we can be more selective with the quantity of tissue to be transferred, the survival rate of the skin paddle is increased [ 38 ].…”

Section: Indicationsmentioning

confidence: 99%

Reconstruction of Soft Tissue Defects with Regional Flaps

Escobar

Cruz

López

et al. 2015

Reconstructive Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

Regional fl aps are pedicle fl aps obtained from anatomical regions close to the defect to be constructed. Their advantages over pedicle fl aps are similarity with the skin adjacent to the defect (color, texture, and hair), the speed with which they can be harvested, and the lower cost, lower comorbidity, and lower personnel and infrastructure requirements. Their disadvantages are their limited size, limited distance between the donor site and the receptor site, and lower predictability when preparing compound fl aps with bone. Regional fl aps can sometimes be combined with microvascular free fl aps for the reconstruction of complex defects.

show abstract

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

Abstract: 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 .

Cited by 9 publications

References 21 publications

Revisiting the sternocleidomastoid flap as a reconstructive option in head and neck surgery

Revisiting the sternocleidomastoid flap as a reconstructive option in head and neck surgery

Sternocleidomastoid Flap for Pedicled Reconstruction in Head & Neck Surgery- Revisiting the Anatomy and Technique

Reconstruction of Soft Tissue Defects with Regional Flaps

Contact Info

Product

Resources

About

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

Abstract: 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 .

Cited by 9 publications

References 21 publications

Revisiting the sternocleidomastoid flap as a reconstructive option in head and neck surgery

Revisiting the sternocleidomastoid flap as a reconstructive option in head and neck surgery

Sternocleidomastoid Flap for Pedicled Reconstruction in Head &amp; Neck Surgery- Revisiting the Anatomy and Technique

Reconstruction of Soft Tissue Defects with Regional Flaps

Contact Info

Product

Resources

About

Sternocleidomastoid Flap for Pedicled Reconstruction in Head & Neck Surgery- Revisiting the Anatomy and Technique