| Sternoclavicular joint osteomyelitis following head and neck surgery. | |
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MedLine Citation:
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PMID: 20422685 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Thien-Tuong-Vi Vu; Nadine V Yammine; Hadi Al-Hakami; Michael P Hier; Martin J Black |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: The Laryngoscope Volume: 120 ISSN: 1531-4995 ISO Abbreviation: Laryngoscope Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-04-27 Completed Date: 2010-05-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8607378 Medline TA: Laryngoscope Country: United States |
Other Details:
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Languages: eng Pagination: 920-3 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology-Head and Neck Surgery, Jewish General Hospital, McGill University, Montreal, Quebec, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Airway Obstruction / pathology, surgery Anti-Bacterial Agents / administration & dosage Carcinoma, Squamous Cell / pathology, radiotherapy, surgery Female Glottis / radiation effects, surgery Humans Infusions, Intravenous Laryngeal Neoplasms / pathology, radiotherapy, surgery Laryngectomy Male Middle Aged Neck Dissection Osteomyelitis / diagnosis*, surgery Otorhinolaryngologic Diseases / surgery* Otorhinolaryngologic Neoplasms / radiotherapy, surgery* Otorhinolaryngologic Surgical Procedures* Postoperative Complications / diagnosis*, surgery Radiotherapy, Adjuvant Radiotherapy, Conformal Reoperation Retrospective Studies Risk Factors Sternoclavicular Joint* / surgery Tracheostomy |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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