Abstract
Clavicular osteomyelitis (COM) is a rarely described disease entity, occurring especially after head and neck surgery. We herein report the ninth case according to the English language literature and describe the pertinent diagnostic and therapeutic measures to treat this complication. A 63-year-old Caucasian male underwent total laryngectomy and partial pharyngectomy for a post-radiotherapy recurrence of a T2 hypopharyngeal cancer. He presented multiple systemic (cardiovascular problems, previous pneumonectomy, malnutrition) and local-regional (previous radiotherapy, neck dissection, tracheostomy) factors favoring postoperative complications. Sixteen days after surgery, he developed a painful swelling with overlying erythematous skin at the level of the medial portion of the left clavicle. A purulent discharge from the adjacent stomal dehiscence was also noted. COM, suspected on the base of patient's history and clavicular inspection, was confirmed by CT scan. Surgical debridement allowed for definitive diagnosis, ruling out any possible suspicion of stomal recurrence or secondary localization to the clavicle. Cultures from the debrided bone sequestra grew Streptococcus pyogenes Group A and allowed for proper targeting of anti...Continue Reading
References
Jul 1, 1977·Cancer·O R MerinoG H Fletcher
Aug 1, 1991·AJR. American Journal of Roentgenology·R H GoldR D Katz
Nov 1, 1989·Head & Neck·R C WangS M Parnes
Jul 1, 1989·Plastic and Reconstructive Surgery·M S GranickR Hardesty
Sep 1, 1988·Archives of Otolaryngology--head & Neck Surgery·D M AlessiT C Calcaterra
Jan 1, 1974·Cancer·J C ProbertM A Bagshaw
Apr 1, 1970·Southern Medical Journal·E GersztenH P Dalton
Sep 1, 1983·The Annals of Otology, Rhinology, and Laryngology·Y P KrespiG A Sisson
Aug 14, 1980·The New England Journal of Medicine·F A Waldvogel, P S Papageorgiou
Feb 4, 1982·The New England Journal of Medicine·S J Mathes
Apr 1, 1994·Skeletal Radiology·E O Gerscovich, A Greenspan
Aug 26, 1998·The Annals of Otology, Rhinology, and Laryngology·C P Winslow, A D Meyers
Jun 4, 1999·The Annals of Thoracic Surgery·K J ZehrS C Yang
Jun 16, 2001·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·A FerlitoV Mondin
Citations
Jan 26, 2010·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Yung-Fang ChenWu-Chung Shen
Jan 30, 2008·Head & Neck·Paul BurnsJohn Kinsella
Apr 28, 2010·The Laryngoscope·Thien-Tuong-Vi VuMartin J Black
Jun 10, 2016·Orthopedics·Sushant GhateAndrew G King
Jan 8, 2015·F1000Research·Aishwarya DamodaranAnand Yuvaraj
Feb 13, 2021·Journal of Immunology Research·Nan JiangBin Yu