Matsuura Naoki, Sakuma Hisashi, Shimono Ayano
Department of Plastic and Reconstructive Surgery, Yokohama Municipal Citizen's Hospital, Yokohama, Japan.
Arch Plast Surg. 2021 Mar;48(2):213-216. doi: 10.5999/aps.2020.00668. Epub 2021 Mar 15.
Many surgeons have demonstrated the validity of sternocleidomastoid muscle flaps for the reconstruction of head and neck tumors. We present a case in which we used an island sternocleidomastoid muscle flap to reconstruct a cheek depression after excision of a malignant parotid tumor. A 44-year-old woman presented with a right malignant parotid tumor. We performed total resection of the parotid gland and facial nerve with the sural nerve and reconstructed the facial nerve and cheek depression with an island sternocleidomastoid muscle flap. The sternal head of the right sternocleidomastoid muscle was cut at the cranial and caudal segments to elevate it as an island flap. We used the superior thyroid artery as the sole pedicle for the island muscle flap. At 1 year and 3 months after the operation, the mimic muscles had gradually recovered and progressed without complications such as Frey syndrome, cervical motor dysfunction, or concave deformation of the neck and cheeks.
许多外科医生已证明胸锁乳突肌皮瓣用于头颈部肿瘤重建的有效性。我们报告一例使用岛状胸锁乳突肌皮瓣重建腮腺恶性肿瘤切除术后颊部凹陷的病例。一名44岁女性因右侧腮腺恶性肿瘤就诊。我们切除了腮腺和面神经，并取腓肠神经，用岛状胸锁乳突肌皮瓣重建面神经和颊部凹陷。将右侧胸锁乳突肌的胸骨端在头侧和尾侧切断，将其提升为岛状皮瓣。我们将甲状腺上动脉作为岛状肌皮瓣的唯一蒂部。术后1年3个月时，表情肌逐渐恢复且进展顺利，未出现诸如味觉出汗综合征、颈部运动功能障碍或颈部和颊部凹陷变形等并发症。
