Use of a sternocleidomastoid muscle flap to protect the carotid artery during laryngectomy.

Autor: Fleming, J C, Fuson, A R, Jeyarajan, H, Thomas, C M, Greene, B
Předmět:
Zdroj: Journal of Laryngology & Otology; Jun2021, Vol. 135 Issue 6, p547-550, 4p
Abstrakt: Objectives: This paper describes a simple method of securing tissue coverage of the great vessels at the initial surgery by rotating the divided sternal heads of the sternocleidomastoid muscle, a routine step during laryngectomy, and approximating them to the prevertebral fascia. The paper presents an illustrated case example where this technique in a salvage laryngectomy repair resulted in a protected vascular axis following a salivary leak. Results: Since utilising this technique, there has been a marked reduction in the requirement of subsequent flap procedures to protect vessels, and no episodes of threatened or actual carotid blowout. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index