Further experiences with the sternocleidomastoid myocutaneous flap: a clinical appraisal of 31 cases.

Abstract

This paper evaluates the experience of one surgeon with use of the sternocleidomastoid myocutaneous flap in 31 consecutive reconstructions in the oropharyngeal area. While the complication rate was 52 percent, essentially all were due to partial epidermal losses. All flaps healed without requiring additional surgery. A review of each of the cases to evaluate the impact of previous radiation therapy, location of the blood supply, or concomitant neck dissection did not identify any differences in the groups. I conclude that this regional flap is readily available and is still useful in selected patients needing reconstruction of small wounds in the oropharyngeal area.