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Sternomyelitis caused by delayed tracheal necrosis after thyroidectomy;treatment using muscle flap of petoralis major

Kuremura, Y.; Iwazawa, T.; Shinke, G.; Hata, T.; Kawanishi, K.; Sasaki, T.; Yamamoto, K.; Mitani, K.; Kodama, K.; Dono, K.; Kitada, M.

Kyobu Geka. Japanese Journal of Thoracic Surgery 67(6): 471-473

2014

ISSN/ISBN: 0021-5252
PMID: 24917404
Document Number: 674359
We experienced a rare case of delayed tracheal rupture after thyroidectomy for papillary thyroid cancer, and the infection causing sternomyelitis. A 69-year-old man presented subcutaneous emphysema after 6 days of total thyroidectomy with bilateral cervical and mediastinal dissection for lymph node metastases by adverse T sternotomy. He underwent tracheostomy on 10th postoperative day (POD), debridement of sternum on 14th POD, and implantation of skin-muscle flap using pectolaris major on 43th POD. The flap showed good adaptation and no infectious complications recurred, so that he could consequently receive closing procedure of tracheostomy on 94th POD.

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