Reconstruction of Soft Tissue Deficit After Parotidectomy by Sternocleidomastoid Muscle Flap

Korean Journal of Head & Neck Oncology 1987;3(1):37-54.
Published online September 30, 1987.

Hee Yoon Choi;Hyo Gyeong Chung;Young Mann Lee;Jai Mann Lee

이하선종양 적출술후 흉쇄유돌근을 이용한 함몰기형교정의 임상적 고찰

최희윤;정효경;이영만;류재만

Abstract

The aim of surgery for all parotid masses is directed toward total removal of the tumor with adequate safe margins of adjacent normal tissue and preservation of the facial nerve whenever possible. Reconstructive procedures following parotidectomy for benign or low grade malignant lesions are most commonly necessary if soft tissue deficits appear at the angle of the mandible below the earlobe as a major cosmetic deformity. This is a report of 24 cases with a diagnosis of parotid tumor who were treated using various surgical procedures at Department of Plastic and Reconstructive Surgery, Hanyang University Hospital over the period of 4 years from January, 1983 to December,1986. Among 24 cases, 11 cases were reconstructed by Sternocleidomastoid muscle flap at the same time that extirpative surgery is outlined. The advantage of Stemocleidomastoid muscle flap is the coverage of the facial nerve, so adhesion between the facial nerve and skin was prevented. Absorption and loss of bulk was not found such as dermofat graft. It was a simple method. Neither donor site defect nor sternocleido-mastoid muscle deformity was developed. Sternocleido-mastoid muscle flap have been found satisfactory in maintaining filled-out soft tissue hollows with good result cosmetically and functionally.