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Japanese

Use of the Sternomastoid Myocutaneous Flaps for the Immediate Repair of Surgical Defects of Tongue Cancer Minoru Okuda 1 1Department of Otolaryngology, Nippon Medical School pp.517-522
Published Date 1981/7/20
DOI https://doi.org/10.11477/mf.1492209284
  • Abstract
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 By the use of the sternomastoid musculocutaneous flap, we have successfully reconstructed the surgical defect after extended radical operation of 5 cases of tongue cancer. The present experiences indicated that its advantages are the improved viability of the flap due to good blood supply of axial vascular pattern, augmentation of the mass substituted for the tongue and oral floor diaphragmadueto an adequate bulk of the muscle, length of the skin flap enough to provide the coverage of the massive oral and mesopharyngcal defects with good rotation arch, simple and easy procedure under the surgical field same as that for primary lesion, capabilities for one-stage reconstruction, andminimum functional and cosmetic disturbance of the donor site.

 When upper radical neck dissection on one side is required or the carotid artery has already been ligated, either an ipsilateral inferior based flap or a contralateral flap must be employed.


Copyright © 1981, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 印刷版ISSN 0386-9679 医学書院

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