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Immediate Reconstruction of Mandibular Defects With a Composite Sternocleidomastoid Musculoclavicular Graft
David R. Barnes, MD;
Robert H. Ossoff, DMD, MD;
Bernard Pecaro, DDS, MD;
George A. Sisson, MD
Arch Otolaryngol. 1981;107(11):711-714.
Abstract
• The problem of mandibular reconstruction has been approached using many surgical techniques. This article studies one such approach—reconstruction using full-thickness clavicle pedicled on the sternocleidomastoid muscle. Five patients with stage II and stage III carcinoma of the anterior part of the floor of the mouth were treated with mandibular resection and neck dissection. The resulting defects were immediately reconstructed with the clavicle-sternocleidomastoid muscle technique. The patients were observed from one to three years and were examined postoperatively with technetium Tc 99m medronate scans, which demonstrated the grafts to be viable. The technique proved reliable in a limited clinical trial.
(Arch Otolaryngol 1981;107:711-714)
Author Affiliations
From the Department of Otolaryngology and Maxillofacial Surgery, Northwestern University Medical School, Chicago. Dr Barnes is now with the Chattanooga (Tenn) Ear, Nose, and Throat Associates, PC.
Footnotes
Accepted for publication May 26, 1981.
Read before the combined meeting of the Society of Head and Neck Surgeons and the American Society for Head and Neck Surgery, Phoenix, Ariz, March 9, 1981.
Reprint requests to Chattanooga Ear, Nose, and Throat Associates, PC, Memorial Medical Building, Suite 588,725 Glenwood Dr, Chattanooga, TN 37404 (Dr Barnes).
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