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"paginaInicial" => "127" "paginaFinal" => "128" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "José Miguel Costa González, Rosa Delia Ramírez Ruíz, Anna Sumarroca Trouboul" "autores" => array:3 [ 0 => array:4 [ "nombre" => "José Miguel" "apellidos" => "Costa González" "email" => array:1 [ 0 => "josemiguel.costag@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Rosa Delia" "apellidos" => "Ramírez Ruíz" ] 2 => array:2 [ "nombre" => "Anna" "apellidos" => "Sumarroca Trouboul" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Otorrinolaringología, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despí, Barcelona, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Músculo elevador de la clavícula" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2008 "Ancho" => 1508 "Tamanyo" => 531928 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a pluripathological patient, with a history of tobacco and alcohol consumption who presented with supraglottic squamous cell carcinoma clinically divulged by CT of cT3N0M0 of the supraglottis. Due to the patient's history, the oncology committee proposed total laryngectomy with emptying of functional bilateral cervical ganglions. During the left cervical lymphatic dissection, a muscle (arrow) was observed situated laterally and discreetly posterior to the internal jugular vein (IJV) and the carotid artery (CA), medially and slightly posteriorly to the sternocleidomastoid muscle (SCMm) and superficially to the roots of the cervical plexus muscle (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). This observation was confirmed in the cervical CT (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). This muscle originated in the transverse apophysis of the axis and was innervated in the posterior surface of the medial third of the clavicle. This anatomical variant is called the levator claviculae muscle.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The levator claviculae muscle is highly infrequent: incidence is situated between .2% and 2%, with a tendency to be observed more frequently on the left side, as in our case. Its origin may be between the atlas (where it may share fascicle with the scapula levator muscle) and C6, and is usually inserted in the middle or lateral third of the clavicle. It should not be confused with the sternocleidomastoid muscle, of which 5 portions have been described (superficial sternomastoid, sternal-occipital, cleido-occipital, sternomastoid profundus and cleidomastoid). It is also important to differentiate it from the scalene and levator muscles of the scapula to accurately access the underlying tissues of the cervical emptying.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of Interests</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors have no conflict of interests to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of Interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Costa González JM, Ramírez Ruíz RD, Sumarroca Trouboul A. Músculo elevador de la clavícula. Acta Otorrinolaringol Esp. 2020;71:127–128.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2008 "Ancho" => 1508 "Tamanyo" => 531928 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1393 "Ancho" => 1508 "Tamanyo" => 130238 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735735/0000007100000002/v1_202004040728/S2173573520300260/v1_202004040728/en/main.assets" "Apartado" => array:4 [ "identificador" => "5869" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in otorhinolaryngology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735735/0000007100000002/v1_202004040728/S2173573520300260/v1_202004040728/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573520300260?idApp=UINPBA00004N" ]
Journal Information
Vol. 71. Issue 2.
Pages 127-128 (March - April 2020)
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Vol. 71. Issue 2.
Pages 127-128 (March - April 2020)
Images in Otorhinolargyngology
The Levator Claviculae Muscle
Músculo elevador de la clavícula
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José Miguel Costa González
, Rosa Delia Ramírez Ruíz, Anna Sumarroca Trouboul
Corresponding author
Servicio de Otorrinolaringología, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despí, Barcelona, Spain
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