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Thoracomyoplasty for Chronic Empyema and Osteoradionecrosis of the Chest Wall

  • Hong, Jeong In (Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Korea University College of Medicine) ;
  • Shin, Hong Ju (Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Korea University College of Medicine) ;
  • Jo, Won-Min (Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Korea University College of Medicine) ;
  • Shin, Jae Seung (Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Korea University College of Medicine) ;
  • Hwang, Jinwook (Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Korea University College of Medicine)
  • Received : 2020.06.26
  • Accepted : 2020.09.03
  • Published : 2021.06.05

Abstract

Herein, we report a case in which thoracomyoplasty was performed to manage chronic postlobectomy empyema (PLE). A 54-year-old male patient with a surgical history of right upper lobectomy and thymectomy 35 years previously who had undergone adjuvant radiotherapy presented with purulent discharge on the anterior chest wall. The patient was diagnosed with chronic PLE with ascending infection and concurrent osteonecrosis of the parasternum. Proper drainage was performed for local infection control and the dead spaces were successfully closed with muscle flaps. There have been no complications to date.

Keywords

References

  1. Fournier I, Krueger T, Wang Y, Meyer A, Ris HB, Gonzalez M. Tailored thoracomyoplasty as a valid treatment option for chronic postlobectomy empyema. Ann Thorac Surg 2012;94:387-93. https://doi.org/10.1016/j.athoracsur.2012.02.089
  2. Hysi I, Rousse N, Claret A, et al. Open window thoracostomy and thoracoplasty to manage 90 postpneumonectomy empyemas. Ann Thorac Surg 2011;92:1833-9. https://doi.org/10.1016/j.athoracsur.2011.07.004
  3. Botianu PV, Botianu AM. Thoracomyoplasty in the treatment of empyema: current indications, basic principles, and results. Pulm Med 2012;2012:418514. https://doi.org/10.1155/2012/418514
  4. Haghshenasskashani A, Rahnavardi M, Yan TD, McCaughan BC. Intrathoracic application of a vacuum-assisted closure device in managing pleural space infection after lung resection: is it an option? In- teract Cardiovasc Thorac Surg 2011;13:168-74. https://doi.org/10.1510/icvts.2011.267286
  5. Stefani A, Jouni R, Alifano M, et al. Thoracoplasty in the current practice of thoracic surgery: a single-institution 10-year experience. Ann Thorac Surg 2011;91:263-8. https://doi.org/10.1016/j.athoracsur.2010.07.084
  6. Krassas A, Grima R, Bagan P, et al. Current indications and results for thoracoplasty and intrathoracic muscle transposition. Eur J Cardiothorac Surg 2010;37:1215-20. https://doi.org/10.1016/j.ejcts.2009.11.049
  7. Makboul M, Salama Ayyad MA. Is myocutaneous flap alone sufficient for reconstruction of chest wall osteoradionecrosis? Interact Cardiovasc Thorac Surg 2012;15:447-51. https://doi.org/10.1093/icvts/ivs146
  8. Raz DJ, Clancy SL, Erhunmwunsee LJ. Surgical management of the radiated chest wall and its complications. Thorac Surg Clin 2017;27: 171-9. https://doi.org/10.1016/j.thorsurg.2017.01.011