Costal osteomyelitis after pectoralis major myocutaneous flap use in head and neck reconstruction.
Costal osteomyelitis and chondritis are rare complications of PMMF usage. They probably represent a secondary complication of a donor-site infection. This diagnosis must be considered in cases of PMMF donor-site infections, which fail to resolve with local wound care and antibiotics. Antibiotic coverage in these cases should be taylored to culture results, while having broad gram-positive activity. Workup of these patients should include CT and biopsy to rule out a neoplastic process.
Stack
B C
BC
Division of Otolaryngology-Head and Neck Surgery, University of South Florida College of Medicine, Tampa, USA.
Klotch
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DW
Hubbell
D S
DS
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology* / Q000601:surgery*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000209:etiology*; D010369:Pectoralis Muscles / Q000382:microbiology / Q000601:surgery*; D011183:Postoperative Complications; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D013518:Surgery, Plastic; D013524:Surgical Flaps; D014059:Tongue / Q000473:pathology* / Q000601:surgery*; D014062:Tongue Neoplasms / Q000473:pathology* / Q000601:surgery*; D014182:Transplantation, Autologous