Disadvantages

The major disadvantage is that its use may interfere with an oncological neck operation. The reliability of this flap is also a major drawback, especially if the neck has been previously irradiated. The arc of rotation is necessarily limited because of the

Figure 3 Three arteries principally supply the sternocleidomastoid muscle: (1) occipital, (2) superior thyroid, and (3) thyrocervical. Two of three of these arteries must remain intact to ensure viability of this flap.

blood supply requirements. This flap can only support a small cutaneous island of no more than 3-4 cm.

Pectoralis Major

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How To Reduce Acne Scarring

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