title: [Sternomyelitis caused by delayed tracheal necrosis after thyroidectomy;treatment using muscle flap of petoralis major].
abstract: We experienced a rare case of delayed tracheal rupture after thyroidectomy for papillary thyroid cancer, and the infection causing sternomyelitis. A 69-year-old man presented subcutaneous emphysema after 6 days of total thyroidectomy with bilateral cervical and mediastinal dissection for lymph node metastases by adverse T sternotomy. He underwent tracheostomy on 10th postoperative day (POD), debridement of sternum on 14th POD, and implantation of skin-muscle flap using pectolaris major on 43th POD. The flap showed good adaptation and no infectious complications recurred, so that he could consequently receive closing procedure of tracheostomy on 94th POD.
authors.affiliation: Department of Education and Clinical Training, Toyonaka Municipal Hospital, Toyonaka, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Kuremura
authors.forename: Takashi
authors.initials: T
authors.lastname: Iwazawa
authors.forename: Gou
authors.initials: G
authors.lastname: Shinke
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Hata
authors.forename: Kenshu
authors.initials: K
authors.lastname: Kawanishi
authors.forename: Takahiro
authors.initials: T
authors.lastname: Sasaki
authors.forename: Keisuke
authors.initials: K
authors.lastname: Yamamoto
authors.forename: Kenji
authors.initials: K
authors.lastname: Mitani
authors.forename: Ken
authors.initials: K
authors.lastname: Kodama
authors.forename: Keizou
authors.initials: K
authors.lastname: Dono
authors.forename: Masashi
authors.initials: M
authors.lastname: Kitada
mesh_terms: D000368:Aged; D058752:Free Tissue Flaps; D006801:Humans; D008297:Male; D009187:Myelitis / Q000209:etiology* / Q000601:surgery*; D009336:Necrosis; D010369:Pectoralis Muscles; D011183:Postoperative Complications; D013249:Sternum; D013964:Thyroid Neoplasms / Q000601:surgery; D013965:Thyroidectomy; D014132:Trachea / Q000473:pathology*