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

Yoonwoo Koh, Eun Chang Choi, Young Chang Lim, Seung Won Lee

Research output: Contribution to journalArticle

2 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)675-679
Number of pages5
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume264
Issue number6
DOIs
Publication statusPublished - 2007 Jun 1

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Clavicle
Myocutaneous Flap
Islands
Neck Dissection
Neck
Head
Radiotherapy
Pectoralis Muscles
Periosteum
Mechanics
Therapeutics

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

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title = "Fracture of the clavicle following the island type of pectoralis major myocutaneous flap for reconstruction of head and neck defect",
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.",
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Fracture of the clavicle following the island type of pectoralis major myocutaneous flap for reconstruction of head and neck defect. / Koh, Yoonwoo; Choi, Eun Chang; Lim, Young Chang; Lee, Seung Won.

In: European Archives of Oto-Rhino-Laryngology, Vol. 264, No. 6, 01.06.2007, p. 675-679.

Research output: Contribution to journalArticle

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