Korean J Thorac Cardiovasc Surg 2018; 51(4): 273-276  https://doi.org/10.5090/kjtcs.2018.51.4.273
Treatment of Fungal Empyema Combined with Osteoradionecrosis by Thoracoplasty and Myocutaneous Flap Transposition
Joon Seok Lee, M.D., In Kyu Park, M.D., Ph.D., Samina Park, M.D., Kwan Yong Hyun, M.D., Chang Hyun Kang, M.D., Ph.D., Young Tae Kim, M.D., Ph.D.
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital
Corresponding author: In Kyu Park, Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea
(Tel) 82-2-2072-2342 (Fax) 82-2-764-3664 (E-mail) ikpark@snu.ac.kr
Received: January 5, 2018; Revised: March 7, 2018; Accepted: March 12, 2018.; Published online: August 5, 2018.
© The Korean Journal of Thoracic and Cardiovascular Surgery. All rights reserved.

cc This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
We report the rare case of a 58-year-old woman who was diagnosed with fungal empyema thoracis combined with osteoradionecrosis. After 32 months of home care followed by open window thoracostomy, thoracoplasty with serratus anterior muscle transposition and a latissimus dorsi myocutaneous flap was performed successfully. Although thoracoplasty is now rarely indicated, it is still the treatment of choice for the complete obliteration of thoracic spaces.
Keywords: Empyema, fungal, Osteoradionecrosis, Thoracoplasty

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