Staged Chest Wall Reconstruction for Radiation-induced Costochondritis
| Autor: | Byeong Seok Kim, MD, Hong Il Kim, MD, PhD, Jong In Kim, MD, PhD, Jin Hyung Park, MD, PhD, Hyung Suk Yi, MD, PhD, Yoon Soo Kim, MD, Hyo Young Kim, MD |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Plastic and Reconstructive Surgery, Global Open, Vol 9, Iss 8, p e3718 (2021) |
| Druh dokumentu: | article |
| ISSN: | 2169-7574 00000000 31236847 |
| DOI: | 10.1097/GOX.0000000000003718 |
| Popis: | Summary:. Costochondritis after breast reconstruction and radiation therapy is rarely reported. Moreover, it is difficult to diagnose using computed tomography and magnetic resonance imaging; as such, wound debridement and reconstruction must be performed in several stages. A 51-year-old woman was diagnosed with invasive cancer of the right breast, and she underwent nipple sparing mastectomy and direct-to-implant breast reconstruction in November 2007. Thirteen years later, in September 2020, she experienced pain and swelling on her right breast. Incisional drainage and implant removal were performed in another clinic; however, the infection was not controlled. An implant-induced infection was suspected, and debridement was performed to a level where fresh tissue appeared in the upper layer of the intercostal muscle. Antibiotics and open dressing were used for 10 days; however, yellowish debris was noted, and third to fifth ribs and costal cartilages turned dark brown. Radiation-induced costochondritis was diagnosed based on clinical findings from the intraoperative field, wound course, and cartilage biopsy. Radical chest wall resection and reconstruction was performed using Teflon (Dupont/Chemours, Wilmington, Del.) and latissimus dorsi musculocutaneous flap. The patient was discharged 2 weeks after surgery without any complications. Costochondritis should be clinically diagnosed while performing the first debridement in staged operation. Radical chest wall resection is essential with chest wall reconstruction using Teflon and a latissimus dorsi musculocutaneous flap. |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
|