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9 - The coverage of wide and infected sternal defect with bilateral pectoralis muscle flaps
Arzu Özcan, Semra Karşıdağ, Soner Tatlıdede, Kemalettin Yıldız, Ercan Çakmak, Kemal Uğurlu, Lütfü Baş
Poststernotomy mediastinitis is a highly dangerous complication following median sternotomy. Such wounds are debrided aggressively of necrotic and foreign materials with subsequent flap reconstruction. The patient, diagnosed with sternal defect which was infected, was examined with exposed bone and wires and not healing for five months. Operative debridement of infected bone and soft tissue was performed, including removal of sternal wires and other foreign bodies and then definitive coverage of the defect was made by bilateral pectoralis major muscle flaps. There were no complications in postoperative one year follow-up period and the patient has been leading normal social life while not having any respiratory problems except severe exercise. Using bilateral pectoral flaps for reconstruction of dead-spaces following debridement for patients having wide sternal defects is an appropriate and effective method.
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