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Osteomyelitis of the clavicle.

D M Alessi1, J A Sercarz, T C Calcaterra

  • 1Division of Head and Neck Surgery, UCLA Medical Center 90024.

Archives of Otolaryngology--Head & Neck Surgery
|September 1, 1988
PubMed
Summary
This summary is machine-generated.

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Clavicular osteomyelitis is a rare complication of head and neck surgery. Treatment varies, with antibiotics for acute cases and surgical debridement for chronic osteomyelitis.

Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Head and Neck Surgery

Background:

  • Osteomyelitis of the clavicle is an uncommon condition.
  • It can arise as a complication following head and neck surgical procedures.

Observation:

  • A review of ten cases of clavicular osteomyelitis at a major medical center over seven years.
  • Six cases were linked to prior surgeries, with five presenting as chronic wound drainage.
  • Acute cases resulted from hematogenous spread, with Staphylococcus aureus identified in two patients.

Findings:

  • Long-term intravenous antibiotics (6-8 weeks) effectively treated hematogenous osteomyelitis.
  • Chronic clavicular osteomyelitis management primarily involved wide surgical débridement, with antibiotics playing a secondary role.

Related Experiment Videos

  • Two patients with prior surgery and radiotherapy required myocutaneous flap reconstruction.

    • Implications:

    • Surgeons must recognize clavicular osteomyelitis as a potential complication of head and neck procedures.
    • Chronic clavicular osteomyelitis necessitates surgical intervention, potentially including flap reconstruction.
    • This study highlights distinct treatment strategies for acute versus chronic clavicular osteomyelitis.