Poster presentation at the 63rd Annual Meeting of the Canadian Society of Otolaryngology–Head and Neck Surgery, Halifax, Nova Scotia, Canada, May 10–13, 2009.
Head and Neck
Article first published online: 20 APR 2010
Copyright © 2010 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 120, Issue 5, pages 920–923, May 2010
How to Cite
Vu, T.-T.-V., Yammine, N. V., Al-Hakami, H., Hier, M. P. and Black, M. J. (2010), Sternoclavicular joint osteomyelitis following head and neck surgery. The Laryngoscope, 120: 920–923. doi: 10.1002/lary.20849
The authors have no funding, financial relationships, or conflicts of interest to disclose.
- Issue published online: 21 APR 2010
- Article first published online: 20 APR 2010
- Manuscript Accepted: 22 DEC 2009
- Head and neck surgery;
- sternoclavicular joint;
- Level of Evidence: 4.
To review all reported cases of sternoclavicular joint (SCJ) osteomyelitis following head and neck surgery.
Retrospective case review.
PubMed search and one additional case from our institution.
Twelve cases were reviewed, and the following recommendations are suggested: risk factors for SCJ osteomyelitis should be identified; early and prompt diagnosis of SCJ osteomyelitis is warranted; tracheostoma care and careful examination of the skin should not be neglected; meticulous screening for cancer recurrence is imperative; if SCJ infection is suspected, cancer recurrence must be ruled out with biopsies; and surgical debridement is considered the gold standard of treatment. Administration of newer-generation antibiotics is a reasonable choice when the infection is detected early, as is maintaining a low threshold for surgical treatment if disease persists or progresses.
Osteomyelitis of the SCJ following head and neck surgery is uncommon and must be distinguished from malignancy with biopsies. Early diagnosis and treatment are imperative. Laryngoscope, 2010