Chirurgische behandeling:Een operatie waarbij de gescheurde mondkringspier weer wordt gehecht is mogelijk. Lees meer in het artikel van Jaime Planas, onder Literatuur.
Algemene adviezen/preventie:Voorkom overbelasting van het embouchure.
Literatuur:Lees een uitgebreid artikel over de operatie:
Rupture of the Orbicularis Oris in Trumpet Players (Satchmo´s syndrome)
door Jaime Planas, M.D., Clinica de Cirugía Plástica y Estética, Barcelona .
www.clinicaplanas.com/fundacion/articulos/articulo7/articulo7.htm
An example of such an injury is rupture of the orbicularis oris, also known as "Satchmo's syndrome."
Trumpet players are most vulnerable because of the high pressures required to play the trumpet, but players of other brass instruments such as the French horn or trombone are also affected.
This injury results in a decline in the strength and agility of the lip musculature with weakness during pouting and an inability to maintain high notes.
Some trumpet players with Satchmo's syndrome have been treated surgically with success, though prolonged rest is another treatment alternative. In fact, this syndrome is named for Louis Armstrong because it matched the symptoms he experienced in his lips in 1935 that forced him to stop playing the trumpet for 1 year.
Bron: Maladies in Musicians / Steven Liu, MD, and Gregory F. Hayden, MD
A tear in the lip muscle (also known as Satchmo’s Syndrome) occurs when the muscle actually ruptures and a discontinuity of the muscle fibers develops.
A tear has the identical symptoms of a stretched muscle, but the overall impact on playing is much more dramatic.
A player will often experience lip discomfort even when he is not playing and may feel a "balling up" in the area around the injury from fat or salivary duct herniating through the tear in the muscle.
Bron: Lucinda-Lewis, Broken Embouchures, an Embouchure Handbook.
Orbicularis Oris Muscle Injury in Brass Players.
Papsin, Blake C. MD; Maaske, Laura A.; McGrail, J. Simon MD
Abstract:
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.
Bron: The Laryngoscope. 106(6):757-760, June 1996.
Bronvermelding:Planas J: Rupture of the orbicularis oris in trumpet players (Satchmo’s syndrome). Plast Reconstr Surg 69:690–692, 1982. http://www.clinicaplanas.com/fundacion/articulos/articulo7/articulo7.htm
Common Problems of Wind Players. William J. Dawson, M.D. Med Probl Perform Art.Dec. 1997
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