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Fracture of the clavicle following the island type of pectoralis major myocutaneous flap for reconstruction of head and neck defect

Authors
 Yoon Woo Koh  ;  Eun Chang Choi  ;  Seung Won Lee  ;  Young Chang Lim 
Citation
 EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, Vol.264(6) : 675-679, 2007 
Journal Title
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
ISSN
 0937-4477 
Issue Date
2007
MeSH
Carcinoma, Squamous Cell/radiotherapy ; Carcinoma, Squamous Cell/surgery* ; Clavicle/injuries* ; Female ; Fractures, Bone/etiology* ; Humans ; Male ; Middle Aged ; Mouth Neoplasms/radiotherapy ; Mouth Neoplasms/surgery* ; Neck Dissection/adverse effects ; Pectoralis Muscles/transplantation* ; Pharyngeal Neoplasms/radiotherapy ; Pharyngeal Neoplasms/surgery* ; Reconstructive Surgical Procedures/adverse effects* ; Surgical Flaps/adverse effects*
Abstract
Fractures of the clavicle following radical neck dissection (RND) and/or radiation therapy have been previously noted in the literature. Interestingly, we experienced three cases of clavicular fracture, which were considered to have resulted from pectoralis major myocutaneous flap (PMMCF). All of these three cases had received the combined treatment of RND, PMMCF and postoperative radiotherapy on the side of fracture. In all three cases, ipsilateral lower neck received 4,500 cGy and island type of PMMCF was used for reconstruction of surgical defect in head and neck area. All fractures noted between 1 and 3 years postoperatively occurred on the medial portion of the clavicle. Devascularization after stripping of periosteum and altered mechanics of the clavicle following resection of clavicular head of pectoralis major muscle may contribute to develop this rare complication in addition to the effect of radiotherapy and RND. We present three cases of the clavicle fracture following the island type PMMCF with a review of literature.
Full Text
http://link.springer.com/article/10.1007%2Fs00405-006-0229-1
DOI
10.1007/s00405-006-0229-1
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Choi, Eun Chang(최은창)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95976
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