Sasaki C T
Arch Otolaryngol. 1980 Feb;106(2):74-6. doi: 10.1001/archotol.1980.00790260006003.
A myocutaneous flap based on the sternocleidomastoid muscle appears useful in selected circumstances when preservation of the sternocleidomastoid does not compromise oncologic safety. Its principal advantage lies in the single-stage repair of smaller oropharyngeal defects not exceeding 6 cm in diameter. Of the five flaps included in this series, one underwent total cutaneous necrosis; in two of five, partial cutaneous loss developed. Despite varying degrees of epithelial loss, fistulae did not develop because of viable underlying muscle present in this compound flap.
基于胸锁乳突肌的肌皮瓣在某些情况下似乎很有用，前提是保留胸锁乳突肌不会影响肿瘤学安全性。其主要优点在于可对直径不超过6厘米的较小口咽缺损进行一期修复。在本系列纳入的五个皮瓣中，一个发生了完全皮肤坏死；五个中有两个出现了部分皮肤缺损。尽管有不同程度的上皮缺失，但由于这种复合皮瓣中存在存活的深层肌肉，并未形成瘘管。
