Might mean (unverified): Muscle segments controlled by nerves.
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We found 2 dictionaries that define the word myotomal:

General (1 matching dictionary)
  1. myotomal: Wiktionary

Medicine (1 matching dictionary)
  1. myotomal: Merriam-Webster Medical Dictionary

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Definitions from Wiktionary (myotomal)

▸ adjective:  Relating to a myotome.

Similar:
myotomic, myotrophic, dermomyotomal, myotubular, myocytic, myotonometric, myoanatomical, myotopic, myofibrous, myofunctional, more...

Opposite:
non-myotomal, extramyotomal, paramyotomal

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Similar:
myotomic, myotrophic, dermomyotomal, myotubular, myocytic, myotonometric, myoanatomical, myotopic, myofibrous, myofunctional, more...

Opposite:
non-myotomal, extramyotomal, paramyotomal



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