Sternoclavicular Joint Tracheal Fistula: An Unusual Postradiation Complication in a Laryngectomee.

A 68-year-old man previously treated for a large laryngeal neoplasm (pT4 pN0 squamous cell carcinoma) developed osteomyelitis of the medial third of the right clavicle with the formation of a fistula between the sternoclavicular joint and tracheal wall near the tracheostomy border. The clinical cour...

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Detalles Bibliográficos
Autores: Dina E, Pallarés Martí B, Filomena V, Prenafeta Moreno M, Díaz Argüello JJ, Blázquez Mañá CM, Sánchez Fernández J, Escamilla Carpintero Y
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Institut d'Investigació i Innovació Parc Taulí (I3PT)
Repositorio:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
OAI Identifier:oai:i3pt.fundanetsuite.com:p6884
Acceso en línea:https://i3pt.portalinvestigacion.com/publicaciones/6884
Access Level:acceso abierto
Palabra clave:clavicular osteomyelitis, clavicular osteoradionecrosis, sternoclavicular joint fistula, sternoclavicular joint osteomyelitis, sternoclavicular joint osteoradionecrosis
Descripción
Sumario:A 68-year-old man previously treated for a large laryngeal neoplasm (pT4 pN0 squamous cell carcinoma) developed osteomyelitis of the medial third of the right clavicle with the formation of a fistula between the sternoclavicular joint and tracheal wall near the tracheostomy border. The clinical course was tedious, required prolonged antibiotic trials, and extended surgical bone resection to control the infection. The final outcome was favorable with wound closure although the patient was left with permanent limitation of shoulder abduction (his shoulder mobility had been normal prior to this process). Histopathological examination of the resected bone suggested a diagnosis of both osteoradionecrosis and osteomyelitis. Indeed, differential diagnosis between these two entities can be challenging after radiotherapy. Here, we present a review of the relevant academic literature and discuss the therapeutic options.

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