Ariyan S
Plast Reconstr Surg. 1979 May;63(5):618-25. doi: 10.1097/00006534-197905000-00003.
The sternomastoid muscle has 3 blood supplies: the occipital artery superiorly, the superior thyroid artery in the middle, and the thyrocervical trunk below. We report the use of a myocutaneous flap consisting of a "paddle" of skin on the end of a pedicle of sternomastoid muscle--with the latter based either on its superior or inferior blood supply. Fourteen such flaps have been used successfully in 13 consecutive patients for one-stage reconstructions of defects of the oral cavity and oropharynx. Although there was partial epithelial loss of the skin "paddle" in 7 cases, in each case the surviving dermis became resurfaced with epithelium.
胸锁乳突肌有3个血液供应来源：上方的枕动脉、中间的甲状腺上动脉以及下方的甲状颈干。我们报告了一种肌皮瓣的应用，该肌皮瓣由胸锁乳突肌蒂末端的一块皮肤“瓣片”组成，胸锁乳突肌蒂可基于其上方或下方的血液供应。14个这样的皮瓣已成功用于13例连续患者，进行口腔和口咽缺损的一期重建。尽管7例患者的皮肤“瓣片”出现了部分上皮缺失，但在每例中，存活的真皮均被上皮重新覆盖。
