Presented here is a case of a pharyngocutaneous fistula which was closed primarily using a sternomastoid muscle flap, without skin coverage, thus obviating the need for a three-layered closure. Providing an intermediate cover was sufficient for the closure because the mucosal lining on the inside and the cutaneous covering on the outside grew using the muscle for support.
MazzolaR.F., SambataroG.. Guidelines for pharyngostome closure.Plast Reconstr Surg1987; 80: 36673.
2.
SebastianP., CherianT., AhamedM.I., JayakumarK.L., SivaramakrishnanP.. The sternomastoid island myocutaneous flap for oral cancer reconstruction.Arch Otolaryngol Head Neck Surg1994; 120: 62932.
3.
ParkashS., RamakrishnanK., AnanthakrishnanN.. Sternomastoid based island flap for lining after resection of oral carcinomas.Br J Plast Surg1980; 33: 1158.
4.
AriyanS.. Pectoralis major, sternomastoid, and other musculocutaneous flaps for head and neck reconstruction.Clin Plast Surg1980; 7: 89109.
5.
AriyanS.. One-stage reconstruction for defects of the mouth using a sternomastoid myocutaneous flap.Plast Reconstr Surg1979; 63: 61825.
6.
ChowT.L., LamC.Y., ChiuP.W., LimB.H., KwokS.P.. Sternomastoid-muscle transposition improves the cosmetic outcome of superficial parotidectomy.Br J Plast Surg2001; 54: 40911.
7.
SiemssenS.O., KirkbyB., O'ConnorT.P.. Immediate reconstruction of a resected segment of the lower jaw, using a compound flap of clavicle and sternomastoid muscle.Plast Reconstr Surg1978; 61: 72435.
