The Laryngoscope · 2010
Sternoclavicular joint osteomyelitis following head and neck surgery.
Клинический случайСтатьяОбзорНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Vu Thien-Tuong-Vi, Yammine Nadine V, Al-Hakami Hadi, Hier Michael P, Black Martin J
Аннотация
OBJECTIVES/HYPOTHESIS: To review all reported cases of sternoclavicular joint (SCJ) osteomyelitis following head and neck surgery.
STUDY DESIGN: Retrospective case review.
METHODS: PubMed search and one additional case from our institution.
RESULTS: Twelve cases were reviewed, and the following recommendations are suggested: risk factors for SCJ osteomyelitis should be identified; early and prompt diagnosis of SCJ osteomyelitis is warranted; tracheostoma care and careful examination of the skin should not be neglected; meticulous screening for cancer recurrence is imperative; if SCJ infection is suspected, cancer recurrence must be ruled out with biopsies; and surgical debridement is considered the gold standard of treatment. Administration of newer-generation antibiotics is a reasonable choice when the infection is detected early, as is maintaining a low threshold for surgical treatment if disease persists or progresses.
CONCLUSIONS: Osteomyelitis of the SCJ following head and neck surgery is uncommon and must be distinguished from malignancy with biopsies. Early diagnosis and treatment are imperative. Laryngoscope, 2010.
STUDY DESIGN: Retrospective case review.
METHODS: PubMed search and one additional case from our institution.
RESULTS: Twelve cases were reviewed, and the following recommendations are suggested: risk factors for SCJ osteomyelitis should be identified; early and prompt diagnosis of SCJ osteomyelitis is warranted; tracheostoma care and careful examination of the skin should not be neglected; meticulous screening for cancer recurrence is imperative; if SCJ infection is suspected, cancer recurrence must be ruled out with biopsies; and surgical debridement is considered the gold standard of treatment. Administration of newer-generation antibiotics is a reasonable choice when the infection is detected early, as is maintaining a low threshold for surgical treatment if disease persists or progresses.
CONCLUSIONS: Osteomyelitis of the SCJ following head and neck surgery is uncommon and must be distinguished from malignancy with biopsies. Early diagnosis and treatment are imperative. Laryngoscope, 2010.
Предметные рубрики MeSH
AgedAirway ObstructionAnti-Bacterial AgentsCarcinoma, Squamous CellFemaleGlottisHumansInfusions, IntravenousLaryngeal NeoplasmsLaryngectomyMaleMiddle AgedNeck DissectionOsteomyelitisOtorhinolaryngologic DiseasesOtorhinolaryngologic NeoplasmsOtorhinolaryngologic Surgical ProceduresPostoperative ComplicationsRadiotherapy, AdjuvantRadiotherapy, ConformalReoperationRetrospective StudiesRisk FactorsSternoclavicular JointTracheostomy