胸大肌瓣治疗颈骨髓炎及硬膜外脓肿

Masaki Fujioka MD, PhD, Kiyoshi Oka MD, Riko Kitamura MD, Aya Yakabe MD
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引用次数: 2

摘要

脊柱骨髓炎和硬膜外脓肿是罕见的,但有潜在的灾难性的后果,尽管手术技术和抗菌治疗已经进步。病例描述:我们报告一例由咽鳞状细胞癌消融引起的颈骨髓炎及硬膜外脓肿,经胸大肌瓣成功治疗。结论颈部污染创面肌瓣植入术可彻底清除污染组织,应用肌瓣封堵死区及新生血管是复合体感染创面成功治疗的必要条件。此外,插入的胸大肌瓣可以将这些感染源的椎骨和硬膜外管分开。我们认为该技术简单,一期手术即可完成,相关发病率极低,因此被认为是治疗颈椎骨髓炎和硬膜外脓肿的理想治疗选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cervical osteomyelitis and epidural abscess treated with a pectoralis major muscle flap

Background

Spinal osteomyelitis and epidural abscess are uncommon but have a potentially disastrous outcome, although the surgical techniques and antimicrobial therapy have advanced.

Case Description

We present a case of cervical osteomyelitis and epidural abscess resulting from pharyngeal squamous cell carcinoma ablation, which were treated with a pectoralis major muscle flap successfully.

Conclusion

Muscle flap insertion to the cervical contaminated wound enables radical removal of the contaminated tissue, and the muscle flaps for dead-space obliteration and neovasculation were obligatory for successful management of the infected complex wound. Furthermore, the inserted pectoralis major muscle flap can divide vertebrae and epidural canal from these origins of infection. We believe that this technique is simple, can be performed in a one-stage management, has minimal associated morbidity, and thus, is advocated as a desirable treatment option in the treatment of cervical osteomyelitis and epidural abscess.

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Surgical Neurology
Surgical Neurology 医学-临床神经学
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