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The sternocleidomastoid myoperiosteal flap for esophagopharyngeal reconstruction and fistula repair: Clinical and experimental study

Despite advances in head and neck surgery, reconstruction of the pharynx and cervical esophagus continues to be troublesome. Classic pedicled flaps are often too bulky and difficult to position for repair of pharyngeal and esophageal fistulas. An ideal flap would be local, well‐vascularized, compact, and capable of being sutured into a tension‐free, watertight seal. In selected cases, the sternocleidomastoid myoperiosteal flap can meet these requirements in a single‐stage procedure for repair of fistulas as well as selected cases of primary pharyngeal reconstruction.