title: Actinomycosis complicating fibula flap mandible reconstruction: a report of two cases.
abstract: Two patients undergoing fibula flap mandible reconstruction developed chronic intraoral wounds and salivary fistulae. After initial attempts at salvage, tissue biopsies demonstrated Actinomycosis infection. With antibiotic treatment and debridement, one reconstruction was salvaged while one was lost. Actinomycosis infection should be considered a possible agent in chronic wounds complicating mandible reconstructions with microsurgical flaps.
authors.affiliation: Division of Plastic Surgery, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216, USA.
authors.forename: V
authors.initials: V
authors.lastname: Sud
authors.forename: S
authors.initials: S
authors.lastname: Shamburger
authors.forename: W
authors.initials: W
authors.lastname: Lineaweaver
mesh_terms: D000196:Actinomycosis / Q000175:diagnosis*; D016025:Bone Transplantation; D006084:Graft Rejection / Q000382:microbiology; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000473:pathology*; D013530:Surgical Wound Infection / Q000175:diagnosis* / Q000382:microbiology