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Ann Thorac Surg 2005;79:1406-1407
© 2005 The Society of Thoracic Surgeons

Case report

Sternocleidomastoid Myocutaneous Esophagoplasty for Benign Cervical Stricture

Deborah K. Cunningham, MD*,a, Scott J. Stern, MDb, Hugh F. Burnett, MDa,c

a Department of Surgery, Division of General Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
b Department of Surgery, Divisions of Division of Otolaryngology, Little Rock, Arkansas, USA
c Department of Surgery, and Division of Thoracic Surgery, Baptist Medical Center, Little Rock, Arkansas, USA

Accepted for publication October 16, 2003.

* Address reprint requests to Dr Cunningham, Surgical Oncology, University of Arkansas for Medical Sciences, 4301 W Markham, Slot 725, Little Rock, AR 72205, USA
dkcunningham{at}uams.edu

Benign strictures of the cervical esophagus that are resistant to dilation present a formidable challenge to the surgeon. Numerous varied techniques have been developed to restore swallowing. Reports of the sternocleidomastoid myocutaneous pedicled flap for repair of benign cervical strictures are scarce. We are reporting a case of residual lye stricture that was treated with sternocleidomastoid myocutaneous esophagoplasty in order to promote awareness of this procedure. This one-stage operation took 1 hour to complete. The patient began eating on postoperative day 4 and has not had any further symptoms.






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