Avery C M E
Department of Maxillofacial Surgery, University Hospitals of Leicester, Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, United Kingdom.
Br J Oral Maxillofac Surg. 2011 Oct;49(7):573-5. doi: 10.1016/j.bjoms.2010.09.008. Epub 2010 Oct 30.
The conventional pedicled sternocleidomastoid (SCM) flap has a poor arc of rotation, limited volume and precarious vascularity. This report describes a new technique for raising a SCM flap based on the perforating vessels of the superior thyroid vascular pedicle. The upper and lower attachments of the sternocleidomastoid muscle are divided. Four medically and/or surgically compromised patients have successfully undergone reconstruction of hemiglossectomy (1), partial glossectomy (1) and rim of mandible (2) defects for malignancy. The arc of rotation of the SCM flap is greatly increased and the potential applications for the flap expanded.
传统的带蒂胸锁乳突肌（SCM）皮瓣旋转弧度差、体积有限且血供不稳定。本报告描述了一种基于甲状腺上血管蒂穿支血管掀起SCM皮瓣的新技术。将胸锁乳突肌的上下附着点切断。4例内科和/或外科情况不佳的患者成功接受了恶性肿瘤半舌切除术（1例）、部分舌切除术（1例）和下颌骨边缘缺损修复术（2例）。SCM皮瓣的旋转弧度大大增加，皮瓣的潜在应用范围扩大。
