Reconstruction of Oromandibular Defect After Tumor Resection by Sternomastoid-clavicular Flap. Issue 5 (July 2021)

• Record Type: Journal Article
• Authors: Zaid, Amir M.; Elzahaby, Isalm A.; Abdallah, Ahmed; Elalfy, Amr F.; Metwally, Islam H.; Said Ahmed, Wael M.; Eldamshety, Osama
• Is Part Of: Journal of craniofacial surgery. Volume 32:Issue 5(2021)
• Publication Date: 2021-07
• Subjects: Mandibular tumors -- mandibulectomy -- oral cancer -- sternomastoid clavicular flap; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000007231
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Abstract: The study aims to evaluate sternocleidomastoid-clavicular osteo-myocutaneous flap (SCM-OMCF) for reconstruction of mandibular defects after tumor resection. In the period between 2010 and 2018, thirteen patients with primary mandibular tumors underwent mandibular resection and reconstruction with SCM-OMCF. Patients were followed up for 10 to 66 months. Hospital was 13 ± 4 days. All patients started fluid in the 2nd day. The mean time to start oral fluid was 7.5 ± 0.8 day. Four (30.8%) patients suffered from complications (infection and salivary leak in 1 case due to partial flap loss, donor wound dehiscence in 1 case, deep venous thrombosis in 1 case and chest infection in 1 case). None of our cases experienced motor disability. Two cases (15.9%) underwent reoperations. The overall aesthetic outcome was found excellent in 5 cases, satisfactory in 5 cases and fair in 3 cases. The functional outcomes were satisfactory. Tumor recurrences were detected in 2 (15.9%) patients. Two patients died during follow up within 2 years after 1st surgery due to local and distant recurrences. SCM-OMCF is a versatile, safe and simple technique for reconstructing mandibular defects less than 11 cm. Abstract : Supplemental Digital Content is available in the text