Recurrent cervical esophageal stenosis after colon conduit failure: Use of myocutaneous flap

Figure 2 Photograph of the musculocutaneous sternocleidomastoid flap and esophagotomy during the operation. A: A skin incision was designed for an elliptical skin island based on the sternocleidomastoid muscle; B: A skin island (6 cm × 4 cm) on the sternocleidomastoid (SCM) muscle was prepared; C, D: Esophagotomy at the level of the cricoid cartilage was extended upward to pharynx and downward; E: The SCM muscle was severed near the clavicle and rotated. The skin flap was fixated to esophagus with interrupted silk sutures; F: The esophagoplasty site was covered with SCM muscle via multiple fixation sutures.