{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T18:42:54Z","timestamp":1760985774112,"version":"3.40.5"},"reference-count":24,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,4,4]],"date-time":"2019-04-04T00:00:00Z","timestamp":1554336000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To report the experience with sternomastoid (SM) myofascial flap for reconstruction\/buttressing of lateral pharyngeal wall and floor of mouth defects following transoral onco\u2010surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospectively collected data from February 2012\u2010January 2018. SM flap harvested as a superiorly based flap supplied by the occipital artery and consisting of only the anterior SM head.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 42 patients were included (TORS, n\u2009=\u200940; TOUSS, n\u2009=\u20092). Three of 42 patients developed transient pharyngo\u2010cervical communications with subsequent spontaneous healing. Flap loss was not noted in any patient. Forty\u2010one of 42 patients resumed normal swallowing and one patient was PEG dependent. Fifteen of 42 patients had pretreatment metastatic neck nodes. No patient however developed nodal recurrence over a median follow\u2010up of 30\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The modified SM flap as reported here is a simple locally available reconstructive option when undertaking transoral surgery. Oncological concerns may however limit its use in situations with large nodal metastasis or extracapsular spread.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.25753","type":"journal-article","created":{"date-parts":[[2019,4,4]],"date-time":"2019-04-04T11:32:09Z","timestamp":1554377529000},"page":"2724-2731","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Role of sternomastoid muscle interposition in concomitant transoral oncologic resection and neck dissection"],"prefix":"10.1002","volume":"41","author":[{"given":"Smriti","family":"Panda","sequence":"first","affiliation":[{"name":"Department of Otolaryngology &amp; Head\u2010Neck Surgery All India Institute of Medical Sciences  New Delhi Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5691-8932","authenticated-orcid":false,"given":"Alok","family":"Thakar","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology &amp; 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