암종절제술과 동시에 실시한 흉쇄유돌근 피부근육판을 이용한 재건술

IMMEDIATE RECONSTRUCTION USING STERNOCLEIDOMASTOID MUSCULOCUTANEOUS FLAP AFTER CANCER SURGERY

Two cases of immediate reconstruction using sternocleidomastoid myocutaneous flap after modified neck dissection and resection of the primary lesions are presented. One patient had a squamous cell carcinoma at the left mandibular posterior gingiva and adjacent buccal cheek area. The other had a verrucous carcinoma at the right floor of mouth from the retromolar pad to the right mandibular lateral incisor and the lateral border of tongue. There are two approaches for the use of sternocleidomastoid muscle. The superiorly based flap is pedicled by the occipital and superior thyroid artery. The inferiorly based flap is pedicled by the superior thyroid and suprascapular artery. We used superiorly based flap for the reconstruction of the anterior floor of mouth and inferiorly based flap for the posterior floor of the mouth and oropharynx. The patients had no special physiotherapy after surgery, however they are able to open their mouths within normal limit and have normal masticatory and swallowing function.