Surgical Management of a Clavicular Defect after Basosquamous Carcinoma Resection. A Case Report
Vadym Sulyma1, Volodymyr Holotiuk2, Liliia Lehun Tverdokhlib3
1Department of Traumatology, Orthopedics and Military Surgery, Ivano-Frankivsk National Medical University of the Ministry of Health of Ukraine, Ivano-Frankivsk, Ukraine.
Ortopedia, Traumatologia, Rehabilitacja
|June 8, 2026
Summary
Chronic osteomyelitis can lead to malignancy. This case details treating clavicular osteomyelitis with secondary basosquamous carcinoma using surgical debridement, reconstructive flaps, and VAC therapy for effective healing.
Area of Science:
- Oncology
- Infectious Diseases
- Plastic Surgery
Background:
- Chronic infections, like osteomyelitis, pose a risk for malignant transformation.
- Basosquamous carcinoma is a rare non-melanoma skin cancer, often aggressive.
- Long-standing purulent processes can spread to bone, increasing cancer risk.
Purpose of the Study:
- To present a clinical case of concurrent chronic clavicular osteomyelitis and basosquamous carcinoma.
- To highlight the challenges in managing complex tissue defects from infection and cancer.
- To evaluate the efficacy of combined reconstructive surgical techniques.
Main Methods:
- Radical surgical sanitation of the infected and neoplastic lesion.
- Staged reconstruction utilizing local skin flaps (keystone and rotational full-thickness).
- Application of Vacuum-Assisted Closure (VAC) therapy for wound management.
Main Results:
- Effective wound healing was achieved post-treatment.
- Successful aesthetic restoration of the affected area.
- Demonstrated the viability of combined reconstructive methods for complex defects.
Conclusions:
- Concurrent chronic clavicular osteomyelitis and basosquamous carcinoma is a challenging clinical scenario.
- A combined approach of radical debridement, reconstructive surgery, and VAC therapy is effective.
- This case underscores the importance of addressing invasive purulent and neoplastic lesions comprehensively.
