Further Experience with Rupture of the Orbicularis Oris in Trumpet Players

Planas, Jaime

doi:10.1097/00006534-198806000-00031

Cited by 6 publications

(9 citation statements)

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“…In 1982, the anatomic basis of this constellation of symptoms was described and a method of repair was presented 2 . Subsequently, an improved method was described on a second patient 3 . We report on 10 patients in whom exploration was performed under anesthesia and 9 cases in which repair of orbicularis oris injury was carried out in brass players.…”

Section: Introductionsupporting

confidence: 81%

Orbicularis Oris Muscle Injury in Brass Players

1996

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The embouchure of the brass player is critical to tone production and largely depends on the integrity of the orbicularis oris muscle. Injury to this muscle can cripple the professional musician by causing fatigue, pain, and tonal deterioration. Ten brass players presented with muscular defects in the orbicularis oris muscle. Examination identified areas of abnormality within the muscle and electromyography (EMG) ruled out a neurologic deficit. All patients underwent exploration under neuroleptic anesthesia, and 9 patients underwent repair. The technique is described. The repaired patients reported improvement after the operation and all resumed playing at their premorbid level. The 10th patient was found to have thinning of the entire orbicularis oris muscle (presumably congenital) and was not able to be repaired. There were no complications of the procedure and no recurrences.

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Section: Introductionsupporting

confidence: 81%

Orbicularis Oris Muscle Injury in Brass Players

1996

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“…Return to the orchestra with pain-free strength and endurance Patrone et al (1989) 19-year-old music student (violin) with digital nerve compression syndrome and hypermobility is treated with splint and strength exercises 2 weeks after treatment complete improvement of the symptoms. After 3 weeks, use of the splint can be reduced without the symptoms returning Planas (1982) Male trumpeter with rupture of the orbicularis oris receives surgical reconstruction Full return of all functions and skills after surgery Planas (1988) 28-year-old male music student (trumpet) with rupture of the orbicularis oris receives surgical reconstruction (and second surgery 2 months later due to residual findings)…”

Section: Case Studiesmentioning

confidence: 99%

Musculoskeletal disorders and complaints in professional musicians: a systematic review of prevalence, risk factors, and clinical treatment effects

Rotter

Noeres

Fernholz

et al. 2019

Int Arch Occup Environ Health

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Purpose Musicians' practice and performance routines reportedly lead to musculoskeletal complaints and disorders (MCD) that impact their wellbeing and performance abilities. This systematic review aims to assess the prevalence, risk factors, prevention and effectiveness of treatments for MCD in professional musicians and consider the methodological quality of the included studies. Methods A systematic literature search was performed in December 2017 using electronic databases and supplemented by a hand search. Case-control studies, cohort studies, cross-sectional studies, interventional studies and case reports investigating the prevalence, risk factors, prevention or treatment effects of MCD in professional musicians or music students (age ≥ 16 years) were included. Quality assessments of the included studies were performed using an adapted version of the "Study Quality Assessment Tools" from the National Heart, Lung, and Blood Institute. Results One case-control study, 6 cohort studies, 62 cross-sectional studies, 12 interventional studies and 28 case reports were included and assessed for methodological quality. The study designs, terminology, and outcomes were heterogeneous, as the analyses mostly did not control for major confounders, and the definition of exposure was often vague. Therefore, evidence that being a professional musician is a risk factor for MCD as well as the causal relationship between these factors remains low despite the fact that a large number of studies have been performed. Conclusions Studies with high internal and external validity regarding the prevalence, risk factors and effectiveness of the prevention or treatment of MCD in professional musicians are still missing. Further high-quality observational and interventional studies are required.

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“…In some patients, outpouching of tissue through the embouchure tear may only occur when patients play; surgical repair is generally required. [9][10][11] A representative time course of symptoms in Satchmo's syndrome appears in Figure 4C.…”

Section: The Ned Groupmentioning

confidence: 99%