Citation Information :
Trivedi S, Modi N. Use of Sternocleidomastoid Flap in Parotid Surgeries: Our Experience. Int J Otorhinolaryngol Clin 2023; 15 (3):169-170.
Salivary gland tumors account for 3% of all head and neck tumors, among which parotid gland tumors account for 80% of all salivary gland neoplasms. Superficial or deep parotidectomy is routinely advised according to the extent of the tumor. Surgery is challenging due to the close relation of the seventh cranial nerve to the parotid gland. Although facial nerve palsy being the most dreaded complication, patients also complain of facial contour deformity. In this study, we have divided the patients who presented with parotid swellings and underwent parotidectomy into two groups with and without the usage of the sternocleidomastoid flap. The sternocleidomastoid flap is an acceptable modality to fill the depressed concave facial contour in parotidectomy patients, which helps in decreasing the incidence of skin necrosis and Frey's syndrome and also helps in a significant degree of patient satisfaction.
Casler JD, Conley J. Sternocleidomastoid muscle transfer and superficial musculoaponeurotic system plication in the prevention of Frey's syndrome. Laryngoscope 101(1 Pt 1):95–100. DOI: 10.1288/00005537-199101000-00019.
El-Anwar MW, Nofal AA-F, Khazbak AO, et al. Sternocleidomastoid muscle flap after parotidectomy. Int Arch Otorhinolaryngol 2015;19(4):319–324. DOI: 10.1055/s-0035-1548535.
Kim SY, Mathog RH. Platysma muscle-cervical fascia-sternocleidomastoid muscle (PCS) flap for parotidectomy. Head Neck 1999;21(5):428–433. DOI: 10.1002/(SICI)1097-0347(199908)21:5 <428::AID-HED8>3.0.CO;2-3.
Bugis SP, Young JE, Archibald SD. Sternocleidomastoid flap following parotidectomy. Head Neck 1990;12(5):430–435. DOI: 10.1002/hed.2880120511.
Gooden EA, Gullane PJ, Irish J, et al. Role of the sternocleidomastoid muscle flap preventing Frey's syndrome and maintaining facial contour following superficial parotidectomy. J Otolaryngol 2001;30(2):98–101. DOI: 10.2310/7070.2001.19876.
Hamilton J, Avitia S, Osborne RF. Designing a bipedicled sternocleidomastoid muscle flap for parotidectomy contour deformities. Ear Nose Throat J 2006;85(1):20–21. PMID: 16509237.
Chow TL, Lam CY, Chiu PW, et al. Sternomastoid-muscle transposition improves the cosmetic outcome of superficial parotidectomy. Br J Plast Surg 2001;54(5):409–411. DOI: 10.1054/bjps.2001.3586.
Sood S, Quraishi MS, Jennings CR, et al. Frey's syndrome following parotidectomy: Prevention using rotation sternocleidomastoid muscles flap. Clin Otolaryngol 1999;24(4):365–368. DOI: 10.1046/j.1365-2273.1999.00283.x.
Rhee JS, Davis RE, Goodwin WJ Jr. Minimizing deformity from parotid gland surgery. Curr Opin Otolaryngol Head Neck Surg 1999;7:90–98. DOI: 10.1097/00020840-199904000-00010.
Nosan DK, Ochi JW, Davidson TM. Preservation of facial contour during parotidectomy. Otolaryngol Head Neck Surg 1991;104(3): 293–298. DOI: 10.1177/019459989110400302.
