title: Late costal osteomyelitis with a cutaneous fistula after flame burns: a case report.
abstract: Chest wall defects are an unusual complication of burn injury, generally seen after high-voltage electrical burns. Here we report the case of a 57-year-old man who developed costal chondritis and osteomyelitis 23 months after flame injury, which covered 50% of the total body surface area. Management included the resection of two ribs and coverage with an omental flap, overlaid by a split-thickness skin graft during the same surgical procedure. Declaration of interest: The authors have no conflict of interest to declare.
authors.affiliation: Faculté de Médecine, Université Paris Descartes, 75 006 Paris, France.|Centre Pluridisciplinaire de Chirurgie Ambulatoire, Hôpitaux Universitaires Paris Centre, Site Port-Royal, AP-HP, 75 014 Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Gaucher
authors.affiliation: Service de Chirurgie Thoracique, Hôpitaux Universitaires Paris Centre, Site Cochin, AP-HP, 75 014 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Bobbio
authors.affiliation: Service de Cytologie et Anatomie Pathologiques, Hôpitaux Universitaires Paris Centre, Site Cochin, AP-HP, 75 014 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Mansuet-Lupo
authors.affiliation: Service de Chirurgie Thoracique, Hôpitaux Universitaires Paris Centre, Site Cochin, AP-HP, 75 014 Paris, France.
authors.forename: E
authors.initials: E
authors.lastname: Hamelin-Canny
authors.affiliation: Centre des Brûlés, Service de Chirurgie Plastique, Hôpital de la Conception, 13 005 Marseille, France.
authors.forename: A
authors.initials: A
authors.lastname: Hautier
authors.affiliation: Service de Soins de Suite et Rééducation, 77 170 Coubert, France.
authors.forename: C
authors.initials: C
authors.lastname: Nicolas
authors.affiliation: Faculté de Médecine, Université Paris Descartes, 75 006 Paris, France.|Service de Chirurgie Thoracique, Hôpitaux Universitaires Paris Centre, Site Cochin, AP-HP, 75 014 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Alifano
mesh_terms: D002056:Burns / Q000150:complications*; D017577:Cutaneous Fistula / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000209:etiology* / Q000628:therapy*; D016038:Skin Transplantation; D013524:Surgical Flaps; D035441:Thoracic Wall / Q000293:injuries; D013991:Tietze's Syndrome / Q000209:etiology* / Q000628:therapy*; D016896:Treatment Outcome; D014945:Wound Healing
keywords: chest wall burns; costal osteomyelitis; omental flap