An Alternative Technique for Surgical Management of Poststernotomy Osteomyelitis and Reconstruction of the Sternal Defect
Introduction. Sternal osteomyelitis with or without mediastinal infection is a severe and rare complication of median sternotomy. In this paper, an alternative technique for the reconstruction of sternal defects with the use of bilateral pectoralis major pedicled muscle flaps is presented. Case...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2013/451594 |
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| author | Petros Konofaos Eleftherios Spartalis Grigorios Karagkiouzis Christos Kampolis Periklis Tomos |
| author_facet | Petros Konofaos Eleftherios Spartalis Grigorios Karagkiouzis Christos Kampolis Periklis Tomos |
| author_sort | Petros Konofaos |
| collection | DOAJ |
| description | Introduction.
Sternal osteomyelitis with or without mediastinal infection is a severe and rare complication of median sternotomy. In this paper, an alternative technique for the reconstruction of sternal defects with the use of bilateral pectoralis major pedicled muscle flaps is presented. Case presentation. A 70-year-old man with the diagnosis of poststernotomy osteomyelitis underwent reconstruction of his sternal defect with the use of bilateral pectoralis major muscle flaps. The patient had an uneventful recovery, and the physical examination revealed a normal range of motion for both upper limbs and sternal stability. Conclusion. The proposed technique incorporates a simple mobilization of the two pectoralis major muscles to be used as flaps to fill the sternal defect without the need for humeral detachment or a second cutaneous incision. Using this technique, a muscular implant is made that seals the dead space, which has no tension due to the presence of a second layer. Postoperative results are excellent, not only regarding infection and functionality but also from an aesthetic point of view. |
| format | Article |
| id | doaj-art-3a8c02b18ecc4e40989467b984570b38 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-3a8c02b18ecc4e40989467b984570b382025-02-03T06:07:35ZengWileyCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/451594451594An Alternative Technique for Surgical Management of Poststernotomy Osteomyelitis and Reconstruction of the Sternal DefectPetros Konofaos0Eleftherios Spartalis1Grigorios Karagkiouzis2Christos Kampolis3Periklis Tomos4Department of Plastic, Reconstructive and Craniofacial Surgery, Health Science Center, University of Tennessee, Memphis, TN 38163, USASecond Department of Propaedeutic Surgery, Medical School, Athens University, 106 76 Athens, GreeceSecond Department of Propaedeutic Surgery, Medical School, Athens University, 106 76 Athens, GreeceSecond Department of Propaedeutic Surgery, Medical School, Athens University, 106 76 Athens, GreeceSecond Department of Propaedeutic Surgery, Medical School, Athens University, 106 76 Athens, GreeceIntroduction. Sternal osteomyelitis with or without mediastinal infection is a severe and rare complication of median sternotomy. In this paper, an alternative technique for the reconstruction of sternal defects with the use of bilateral pectoralis major pedicled muscle flaps is presented. Case presentation. A 70-year-old man with the diagnosis of poststernotomy osteomyelitis underwent reconstruction of his sternal defect with the use of bilateral pectoralis major muscle flaps. The patient had an uneventful recovery, and the physical examination revealed a normal range of motion for both upper limbs and sternal stability. Conclusion. The proposed technique incorporates a simple mobilization of the two pectoralis major muscles to be used as flaps to fill the sternal defect without the need for humeral detachment or a second cutaneous incision. Using this technique, a muscular implant is made that seals the dead space, which has no tension due to the presence of a second layer. Postoperative results are excellent, not only regarding infection and functionality but also from an aesthetic point of view.http://dx.doi.org/10.1155/2013/451594 |
| spellingShingle | Petros Konofaos Eleftherios Spartalis Grigorios Karagkiouzis Christos Kampolis Periklis Tomos An Alternative Technique for Surgical Management of Poststernotomy Osteomyelitis and Reconstruction of the Sternal Defect Case Reports in Surgery |
| title | An Alternative Technique for Surgical Management of Poststernotomy Osteomyelitis and Reconstruction of the Sternal Defect |
| title_full | An Alternative Technique for Surgical Management of Poststernotomy Osteomyelitis and Reconstruction of the Sternal Defect |
| title_fullStr | An Alternative Technique for Surgical Management of Poststernotomy Osteomyelitis and Reconstruction of the Sternal Defect |
| title_full_unstemmed | An Alternative Technique for Surgical Management of Poststernotomy Osteomyelitis and Reconstruction of the Sternal Defect |
| title_short | An Alternative Technique for Surgical Management of Poststernotomy Osteomyelitis and Reconstruction of the Sternal Defect |
| title_sort | alternative technique for surgical management of poststernotomy osteomyelitis and reconstruction of the sternal defect |
| url | http://dx.doi.org/10.1155/2013/451594 |
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