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2 results

  • Revisiting the sternocleidomastoid flap as a reconstructive option in head and neck surgery

  • L F Jones, E M Farrar, D J H Roberts, J W Moor
  • Journal:
    The Journal of Laryngology & Otology / Volume 133 / Issue 9 / September 2019
    Published online by Cambridge University Press:
    19 August 2019, pp. 742-746
    Print publication:
    September 2019
  • Background

    The sternocleidomastoid can be used as a pedicled flap in head and neck reconstruction. It has previously been associated with high complication rates, likely due in part to the variable nature of its blood supply.

    Objective

    To provide clinicians with an up-to-date review of clinical outcomes of sternocleidomastoid flap surgery in head and neck reconstruction, integrated with a review of vascular anatomical studies of the sternocleidomastoid.

    Methods

    A literature search of the Medline and Web of Science databases was conducted. Complications were analysed for each study. The trend in success rates was analysed by date of the study.

    Results

    Reported complication rates have improved over time. The preservation of two vascular pedicles rather than one may have contributed to improved outcomes.

    Conclusion

    The sternocleidomastoid flap is a versatile option for patients where prolonged free flap surgery is inappropriate. Modern vascular imaging techniques could optimise pre-operative planning.

  • Traumatic myositis ossificans of the superior belly of the omohyoid

  • M. Read-Jones, G. E. Murty, V. Ward
  • Journal:
    The Journal of Laryngology & Otology / Volume 113 / Issue 9 / September 1999
    Published online by Cambridge University Press:
    29 June 2007, pp. 856-857
    Print publication:
    September 1999

  • The first case of traumatic myositis ossificans (TMO) involving a strap muscle of the neck is reported. TMO typically presents with an unresolved mass following trauma or surgery, requiring differentiation from other soft tissue and bone neoplasms. Opacification may be present on soft tissue X-rays. Computed tomography (CT) scan may demonstrate a characteristic zoning phenomenon to establish the diagnosis. The disorder is frequently self-limiting but surgery may be required for persistent symptoms.