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Long-term sequelae following median sternotomy wound infection and flap reconstruction.

Publication ,  Journal Article
Yuen, JC; Zhou, AT; Serafin, D; Georgiade, GS
Published in: Ann Plast Surg
December 1995

Use of muscle and omental flaps has been shown to provide reliable reconstruction of infected median sternotomy wounds; however, few reports emphasize the long-term sequelae of the complication and its treatment. This study was performed to evaluate the long-term problems, including patient satisfaction and survival rate, in 88 patients with median sternotomy infections treated with muscle or omental flaps. Forty-two patients were available for long-term follow-up by telephone interview, with an average length of follow-up of 42 months. Forty-three percent complained of chronic chest wall pain or discomfort, and 45% complained of sternal instability. After pectoralis major muscle flap reconstruction in 32 patients, 25% complained of upper extremity weakness, and 56% complained of chest contour deformity. Delayed septic costochondritis or osteomyelitis occurred in 8%. Despite these unfavorable consequences, 72% and 83% of patients were satisfied with the cosmesis of the operation and the overall result, respectively. Furthermore, after hospital discharge, these patients seem to enjoy satisfactory longevity. By emphasizing the potential sequelae, further research interest may be stimulated in delineating their causes and in refining techniques of reconstruction.

Duke Scholars

Published In

Ann Plast Surg

DOI

ISSN

0148-7043

Publication Date

December 1995

Volume

35

Issue

6

Start / End Page

585 / 589

Location

United States

Related Subject Headings

  • Wound Healing
  • Treatment Outcome
  • Survival Rate
  • Surgical Wound Infection
  • Surgical Flaps
  • Surgery
  • Sternum
  • Retrospective Studies
  • Reoperation
  • Postoperative Complications
 

Citation

APA
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ICMJE
MLA
NLM
Yuen, J. C., Zhou, A. T., Serafin, D., & Georgiade, G. S. (1995). Long-term sequelae following median sternotomy wound infection and flap reconstruction. Ann Plast Surg, 35(6), 585–589. https://doi.org/10.1097/00000637-199512000-00005
Yuen, J. C., A. T. Zhou, D. Serafin, and G. S. Georgiade. “Long-term sequelae following median sternotomy wound infection and flap reconstruction.Ann Plast Surg 35, no. 6 (December 1995): 585–89. https://doi.org/10.1097/00000637-199512000-00005.
Yuen JC, Zhou AT, Serafin D, Georgiade GS. Long-term sequelae following median sternotomy wound infection and flap reconstruction. Ann Plast Surg. 1995 Dec;35(6):585–9.
Yuen, J. C., et al. “Long-term sequelae following median sternotomy wound infection and flap reconstruction.Ann Plast Surg, vol. 35, no. 6, Dec. 1995, pp. 585–89. Pubmed, doi:10.1097/00000637-199512000-00005.
Yuen JC, Zhou AT, Serafin D, Georgiade GS. Long-term sequelae following median sternotomy wound infection and flap reconstruction. Ann Plast Surg. 1995 Dec;35(6):585–589.

Published In

Ann Plast Surg

DOI

ISSN

0148-7043

Publication Date

December 1995

Volume

35

Issue

6

Start / End Page

585 / 589

Location

United States

Related Subject Headings

  • Wound Healing
  • Treatment Outcome
  • Survival Rate
  • Surgical Wound Infection
  • Surgical Flaps
  • Surgery
  • Sternum
  • Retrospective Studies
  • Reoperation
  • Postoperative Complications