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



Fleming, JC ORCID: 0000-0001-7963-1224, Fuson, AR, Jeyarajan, H, Thomas, CM and Greene, B
(2021) Use of a sternocleidomastoid muscle flap to protect the carotid artery during laryngectomy. The Journal of laryngology and otology. 1 - 4.

[img] Text
jlo20065_sternocleidomastoid_muscle_flap resubmission v2.doc - Accepted Version

Download (4MB)

Abstract

<h4>Objectives</h4>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.<h4>Results</h4>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.

Item Type: Article
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Systems, Molecular and Integrative Biology
Depositing User: Symplectic Admin
Date Deposited: 19 May 2021 08:32
Last Modified: 12 Aug 2022 23:13
DOI: 10.1017/s0022215121001249
URI: https://livrepository.liverpool.ac.uk/id/eprint/3123164