Sinus and Surgical Endoscopic Research Center, Faculty of Medicine, Ghaem Hospital, Mashhad University of Medical Sciences, Ahmadabad Avenue, Mashhad, Iran,
Aesthetic Plast Surg. 2013 Dec;37(6):1167-70. doi: 10.1007/s00266-013-0216-z. Epub 2013 Oct 3.
Reconstruction of head and neck defects has always been challenging due to functional and cosmetic concerns. Although sternocleidomastoid (SCM) flaps have been used for many head and neck defects, use of an SCM flap to reconstruct a cheek defect based only on the superior thyroid artery has not been reported previously.
The case of a 40-year-old farmer with a large full-thickness cheek squamous cell carcinoma is reported. An SCM myocutaneous flap based on the SCM branch of the superior thyroid artery was used.
An SCM myocutaneous flap is a valuable option for head and neck reconstructions with reasonable aesthetic results. For properly selected cases, this flap obviates the need to use the pectoralis major or other more distant flaps.
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由于功能和美容方面的考虑，头颈部缺损的重建一直具有挑战性。尽管胸锁乳突肌（SCM）皮瓣已被用于许多头颈部缺损，但以前从未报道过仅基于甲状腺上动脉使用 SCM 皮瓣来重建颊部缺损。
报告了一例 40 岁农民患有大面积全层颊部鳞状细胞癌的病例。使用了基于甲状腺上动脉 SCM 分支的 SCM 肌皮瓣。
SCM 肌皮瓣是头颈部重建的一种有价值的选择，可获得合理的美容效果。对于适当选择的病例，该皮瓣可避免使用胸大肌或其他更远的皮瓣。
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