Application of modified sternocleidomastoid myocutaneous flap in hypopharyngeal defect
10.3760/cma.j.issn.1673-0860.2012.02.013
- VernacularTitle:改良血管蒂胸锁乳突肌岛状瓣修复下咽部缺损
- Author:
Hua Chun LI
1
;
Bin LI
;
Fei CHEN
;
Jin CHEN
Author Information
1. 四川省肿瘤医院四川省肿瘤研究所
- Keywords:
Hypopharyngeal neoplasms;
Surgical flaps;
Reconstructive surgical procedures
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2012;47(2):146-148
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the treatment outcomes of modified sternocleidomastoid myocutaneous flap with a pedicel containing superior thyroid artery in repairing postoperative hypolaryngeal defect.Methods From Dec.2003 to Sep.2010,the modified sternocleidomastoid myocutaneous flap was used to repair postoperative hypopharyngeal defect for twelve patients with pyriform sinus carcinoma,age ranging from 47 to 72 years old.No patients had treated by radiotherapy before operation.Of 12 patients,5 cases in T2NOM0,5 cases in T3N1M0 and 2 cases in T4N1M0.Results Two cases in T4 with thyroid invasion and 2 cases in T3 with vocal cord fixation had total laryngectomy,and the other 8 cases were conservated with laryngeal functions.To shape flap with middle and lower segment of sternocleidomastoid muscle and with superior thyroid artery as pedicel.All flaps survived after operation.The following-up time was 7 -88 months (median 30 months).Four patients died of recurence or metastasis of tumor during following-up.Conclusions Modified sternocleidomastoid myocutaneous flap with pedicle is easy to hervest,with smaller damage and a higher survival rate,which is a good flap for the repair of the hypopharyngeal defect after resecting tumour.
