Yugueros P, Woods J E
Service of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Br J Plast Surg. 1996 Mar;49(2):93-6. doi: 10.1016/s0007-1226(96)90080-6.
The sternocleidomastoid myocutaneous flap was described 40 years ago. However, its reliability has been a matter of discussion, mainly because of its random blood supply and subsequent tendency to necrosis. This paper describes the use of the sternocleidomastoid island myocutaneous flap, superiorly based, in 10 patients with good results. In these patients, the superior thyroid artery was sacrificed and the skin paddle was incised directly over the muscle, as described by Ariyan. We believe this approach assures the usefulness of the flap and justifies its expanded utilization.
胸锁乳突肌肌皮瓣于40年前被描述。然而，其可靠性一直存在争议，主要是因为其随机血供以及随后的坏死倾向。本文描述了10例患者使用以甲状腺上动脉为蒂的胸锁乳突肌岛状肌皮瓣的良好效果。在这些患者中，如阿里扬所描述的那样，牺牲了甲状腺上动脉，皮瓣直接在肌肉上切开。我们认为这种方法确保了皮瓣的实用性，并证明了其扩大应用的合理性。
