2019
DOI: 10.1002/hed.25852
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Myotomy of sternocleidomastoid muscle as a secondary procedure in laryngectomized patients

Abstract: 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 … Show more

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Cited by 5 publications
(3 citation statements)
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References 7 publications
(13 reference statements)
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“…The division of the sternal head of sternocleidomastoid will not cause any functional disability. 7 We agree that the scar of the wound is a bit long and extends to the neck.…”
Section: Discussionmentioning
confidence: 75%
“…The division of the sternal head of sternocleidomastoid will not cause any functional disability. 7 We agree that the scar of the wound is a bit long and extends to the neck.…”
Section: Discussionmentioning
confidence: 75%
“…An excessive stomal depth is undesirable for tracheoesophageal speech and tracheostoma care. Thus, division of the sternal heads of the sternocleidomastoid muscle is usually performed during a total laryngectomy to prevent recession and shrinkage of the tracheostoma [97].…”
Section: Tracheostoma Creationmentioning
confidence: 99%
“…Finally, the section of the medial portion of both sternocleidomastoid muscles at their distal end promotes flattening of the tracheostoma, facilitates VP management, and enhances adherence to adhesives and HME. It is a simple, quick, and safe procedure [46][47][48] (4, C).…”
mentioning
confidence: 99%