Sternocleidomastoid muscle flap transfer for the application in parotidectomy

Objective To explore the clinical immediate reconstruction effect of sternocleidomastoid myocutaneous flap on facial depression deformity and postoperative gustatory sweating syndrome (Frey syndrome) after parotid gland tumor surgery.Methods From March 2002 to March 2009,97 cases were divided into experimental group of 67 cases,control group of 30 cases.Patients in experimental group were performed with the usual s incision to remove parotid gland tumor,combined with resection of superficial lobe or the whole leaf,then sternocleidomastoid myocutaneous flap repair was performed,but sternocleidomastoid myocutaneous flap repair was not performed in patients in control group.All the patients had been followed-up for 1 to 5 years.Results The local depression deformity rate and incidence of Frey syndrome were 86.7% (26/30) and 17.9% (12/67),66.7% (20/30) and 9% (6/67) in experimental group and control group,with statistically significant differences between the two groups (P0.01).Conclusion Sternocleidomastoid myocutaneous flap surgery is an instant repair for facial depression deformity after parotid gland tumor surgery,and can reduce the incidence of Frey Syndrome.