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Myotomy of sternocleidomastoid muscle as a secondary procedure in laryngectomized patients
Author(s) -
Santoro Giovanni Paolo,
Luparello Paolo,
Lazio Maria Silvia,
Comini Lara Valentina,
Martelli Federica,
Cannavicci Angelo
Publication year - 2019
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.25852
Subject(s) - medicine , myotomy , laryngectomy , sternocleidomastoid muscle , stoma (medicine) , surgery , context (archaeology) , larynx , esophagus , paleontology , achalasia , biology
Background The application of specific devices to seal the tracheal stoma in laryngectomized patients is critical for optimal pulmonary and phonatory rehabilitation. Indeed, an excessive stomal depth is one of the main causes of rehabilitation failure. In this context, division of the sternal heads of the sternocleidomastoid muscle (SCM) is a common technique, usually performed during the laryngectomy. Methods We perform a myotomy of the sternal head of the SCM in deep and narrow tracheal stoma as a secondary procedure under local anesthesia, and here we describe the surgical steps of this procedure. Results The medium depth of the stoma is reduced, and no procedure‐specific complications have been observed. Postoperative morphological features show a flattening of the peristomal area, and all patients have begun regular use of appropriate patches and filters. Conclusions Secondary section of SCM is a safe, simple, and effective procedure in total laryngectomies with deep and narrow stoma.