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Costal osteomyelitis after pectoralis major myocutaneous flap use in head and neck reconstruction

B C Stack1, D W Klotch, D S Hubbell

  • 1Division of Otolaryngology-Head and Neck Surgery, University of South Florida College of Medicine, Tampa, USA.

American Journal of Otolaryngology
|January 1, 1995
PubMed

Insights

Coastal osteomyelitis and chondritis are rare complications of pubic bone and muscle flap (PMMF) usage, likely stemming from donor-site infections. Consider this diagnosis for persistent PMMF donor-site infections unresponsive to standard treatment.

Area of Science:

  • Orthopedic Surgery
  • Infectious Disease
  • Plastic Surgery

Background:

  • Pubic bone and muscle flap (PMMF) is a reconstructive technique.
  • Donor-site infections can occur following PMMF harvest.
  • Rare complications of PMMF usage include osteomyelitis and chondritis.

Observation:

  • Coastal osteomyelitis and chondritis are uncommon sequelae of PMMF.
  • These conditions may arise secondary to an initial donor-site infection.
  • Diagnosis is suspected when PMMF donor-site infections do not resolve with conventional wound care and antibiotics.

Findings:

  • Infection management requires antibiotic therapy tailored to culture results.
  • Broad-spectrum gram-positive antibiotic coverage is recommended.
  • Diagnostic workup should include CT scans and biopsy to exclude neoplastic processes.

Implications:

  • Early recognition and appropriate management are crucial for PMMF donor-site infections.
  • This understanding aids in preventing severe complications like osteomyelitis and chondritis.
  • Further research may elucidate optimal prophylactic and therapeutic strategies for PMMF-related infections.

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