Conley J, Gullane P J
Head Neck Surg. 1980 Mar-Apr;2(4):308-11. doi: 10.1002/hed.2890020409.
The sternocleidomastoid muscle has significant application in the head and neck following radical ablative surgery about the mandible, face, and oral cavity. It can be used in the following ways to rehabilitate the paralyzed face, to correct a soft-tissue defect about the upper neck and oral cavity, and to protect the major arteries in the head and neck. (a) It may be transposed with a segment of the clavicle and/or sternum as a composite pedicle flap for reconstruction of the mandible. (b) It may be transposed into the lower cheek and jaw to reconstruct a mandibular defect. (c) It may be transposed into the anterior floor of the mouth as a myocutaneous flap following major ablative surgery to assist in correcting the defect and rehabilitating the oral cavity. (d) It may assist in facial paralysis to reanimate the lower third of the face. (e) It may be used to reinforce a suture line and protect the carotid and innominate arteries. (f) It may assist in shoulder elevation following poliomyelitis when transposed to the acromial process of the clavicle.
在对下颌骨、面部和口腔进行根治性切除手术后，胸锁乳突肌在头颈部有重要应用。它可用于以下方面来修复面瘫、纠正上颈部和口腔周围的软组织缺损以及保护头颈部的主要动脉。（a）它可与一段锁骨和/或胸骨作为复合带蒂皮瓣转移，用于下颌骨重建。（b）它可转移至下脸颊和下颌，以重建下颌骨缺损。（c）在进行大型切除手术后，它可作为肌皮瓣转移至口腔前底部，协助纠正缺损并修复口腔。（d）它可辅助面瘫患者恢复面部下三分之一的活动能力。（e）它可用于加强缝合线并保护颈动脉和无名动脉。（f）当转移至锁骨的肩峰时，它可在小儿麻痹症后辅助肩部抬高。
