Mustafa YEL, M. Nazım KARALEZLİ, Zekeriya TOSUN, Serhan SEZGİN, Nedim SAVACI

Osteomuskülokütanöz flep ile klavikula rekonstrüksiyonu: Olgu sunumu

Tümör tedavisinde kullanılan radyoterapi yumuşak doku nekrozu, kemik nekrozu ve patolojik kırıklara neden olabilmektedir. On yıl önce meme kanseri nedeniyle geçirdiği radikal mastektomi sonrasında radyoterapi gören 47 yaşındaki kadın hasta sol klavikulada meydana gelen patolojik kırık nedeniyle başvurdu. Hastaya kaburga ve latissimus dorsi ile beraber altıncı kaburganın 4 cm’lik parçasını içeren osteomuskülokütan flep ile tedavi uygulandı. Kaynama ameliyat sonrası üçüncü ayda sağlandı. Verici saha morbiditesi kozmetik açıdan kabul edilebilir derecedeydi ve omuz fonksiyonlarında ilerleme sağlandı. Hastanın 38 aylık izlemi sonrasında Constant omuz skoru 36’dan 88’e yükseldi.

Anahtar Kelimeler:

Radyasyon hasarı, Radyoterapi, Rekonstrüktif cerrahi işlemler, Cerrahi flepler, Klavikula, Kemik hastalıkları, Orta yaşlı, Meme neoplazmları, Tanı, ayırıcı, Kadın

Osteomusculocutaneous flap for clavicular reconstruction: a case report

Radiotherapy for tumors can cause soft tissue necrosis, osteonecrosis, and pathologic fractures. A 47-year-old woman presented with a pathologic fracture of the left clavicle 10 years after radiotherapy following radical mastectomy for breast cancer. She was treated with a compound rib-latissimus dorsi osteomusculocutaneous flap with a 4-cm segment of the sixth rib. Fusion of the bones was achieved in three months. Donor site morbidity was cosmetically acceptable and function of the shoulder was improved. The Constant shoulder score which was 36 preoperatively increased to 88 after 38 months of follow-up.

Keywords:

Radiation Injuries, Radiotherapy, Reconstructive Surgical Procedures, Surgical Flaps, Clavicle, Bone Diseases, Middle Aged, Breast Neoplasms, Diagnosis, Differential, Female,

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