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

Academic Article


  • 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.
  • Published In

    Digital Object Identifier (doi)

    Author List

  • Fleming JC; Fuson AR; Jeyarajan H; Thomas CM; Greene B
  • Start Page

  • 547
  • End Page

  • 550
  • Volume

  • 135
  • Issue

  • 6