Fracture of the Clavicle following Radical Neck Dissection and Reconstruction Using Pectoralis Major Myocutaneous Flap Accompanied by Postoperative Radiotherapy-Reference-Cited by-同舟云学术

Fracture of the Clavicle following Radical Neck Dissection and Reconstruction Using Pectoralis Major Myocutaneous Flap Accompanied by Postoperative Radiotherapy

Published:2018-06 Issue:2 Volume:11 Page:138-141
ISSN:1943-3875
Container-title:Craniomaxillofacial Trauma & Reconstruction
language:en
Short-container-title:Craniomaxillofacial Trauma & Reconstruction

Author:

Nariai Yoshiki¹²,Odawara Sho¹²,Ichiyama Tomoko¹²,Akutsu Jun-ichi¹,Kanno Takahiro²,Sekine Joji²

Affiliation:

1. Department of Oral and Maxillofacial Surgery, Matsue City Hospital, Matsue, Shimane, Japan

2. Department of Oral and Maxillofacial Surgery, Shimane University, Faculty of Medicine, Izumo, Shimane, Japan

Abstract

Fracture of the clavicle following radical neck dissection (RND) and/or radiotherapy is a rare complication. Several causes of fracture of the clavicle after treatment of head and neck cancer were postulated in previous reports. We present a case of fracture of the clavicle after treatment of squamous cell carcinoma of the tongue. An 81-year-old Japanese woman underwent RND, subtotal glossectomy, reconstruction using a pectoralis major myocutaneous flap (PMMCF), and postoperative radiotherapy (50.4 Gy). One month after the primary treatment, fracture of the clavicle occurred. It was thought that muscular dynamic factor and reduction of blood supply in the clavicle associated with RND and PMMCF were the causes of the fracture. We have to recognize the occurrence of this complication and try to reduce the factors related to the complication.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Oral Surgery,Surgery

Link

http://journals.sagepub.com/doi/pdf/10.1055/s-0037-1600903

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