Academic literature on the topic 'Open flap debridement'
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Journal articles on the topic "Open flap debridement"
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Cao, Zheming, Cheng Li, Jiqiang He, Liming Qing, Fang Yu, Panfeng Wu, and Juyu Tang. "Early Reconstruction Delivered Better Outcomes for Severe Open Fracture of Lower Extremities: A 15-Year Retrospective Study." Journal of Clinical Medicine 11, no. 23 (December 2, 2022): 7174. http://dx.doi.org/10.3390/jcm11237174.
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Background: The principle of early flap reconstruction for high-grade traumatic lower-extremity injuries established in 1986 by Godina has been widely accepted. However, the lack of an orthoplastic center in China makes early reconstruction not accessible for all patients with a Gustilo IIIB fracture. This study aimed to analyze the impact of timing on outcomes in lower-extremity traumatic free-flap reconstruction. Methods: A retrospective review identified 394 free-flap reconstructions performed from January 2005 to January 2020 for Gustilo IIIB tibial fractures. Patients were stratified based on the number of debridements: two times or less (early) and more than two times (delayed). The interval between injury and reconstruction, surgery time, hemorrhage volume, length of hospitalization (LoS), wound and bone healing time, flap outcomes, and function restoration were examined based on times of debridement. Results: The mean interval between injury and flap reconstruction in the early-repair group with 6.15 ± 1.82 postoperative days (PODs) was significantly shorter than that of the delayed-repair group with 16.46 ± 4.09 PODs (p < 0.001). The flap harvest time, reconstructive time, and intraoperative blood loss were also significantly less in the early-repair group compared to the delayed-repair group. Interestingly, we observed an 8.20% enlargement of wound size due to multiple debridements in the delayed-repair group. Most importantly, the early-repair group had better outcomes with a decreased risk of total or partial flap necrosis, lower incidence of flap complications, and fewer overall late complications than the delayed-repair group. In addition, the LoS, as well as wound and bone healing time, were notably shorter in the early-repair group. Furthermore, 4.85% of cases in the delayed-repair group experienced additional operations on bone, while no additional operations were performed in the early-repair group. All cases in both groups obtained satisfying functional results, while the early-repair group showed better functional recovery. Conclusions: Early repair with free flaps performed within two instances of debridement had superior outcomes when compared with delayed reconstruction after multiple debridements, consistent with Godina’s findings. We recommended early referral to a higher-level hospital with orthoplastic capabilities after an aggressive and thorough initial debridement carried out by senior surgeons.
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Thapa, Bishwamber, Prakash Sitoula, Ranjib Kumar Jha, Santosh Thapa, Suman Kunwar, and Ashish Rajthala. "Outcome of Soft Tissue Coverage in Open Tibia Fractures with Non-Microvascular Flap at a Tertiary Care Hospital." Journal of Nobel Medical College 11, no. 1 (June 29, 2022): 22–26. http://dx.doi.org/10.3126/jonmc.v11i1.45731.
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Background: Open tibia fractures are high energy injuries often associated with large soft defects, extensive soft tissue stripping and contamination requiring multiple debridement procedures. Collective ortho-plastic approach helps us achieve proper debridement, adequate fixation and early soft tissue coverage. Due to fairly high incidence of failure, steep learning curve, time consuming procedure and the cost of treatment for those tedious free flaps, non-microvascular flaps are being preferred to cover the soft tissue defects or exposed hardware in open tibia fractures.
Materials and Methods: A prospective study was carried out in 19 patients to assess the outcome of soft tissue coverage in open tibia fractures with non-microvascular flap. Out of these patients, 6 patients were treated with medial gastrocnemius flap, 5 patients with medial hemi-soleus, 5 patients with reverse sural fasciocutaneous flap, and 3 patients with local rotational random flaps. Outcome measures included bony union, deep surgical infection and flap failure.
Results: 84% patients were male whereas 16% patients were female. Road traffic accident was the major cause of the defect among the patients (74%). Complications in the form of deep infection (10%), non-union (21%), delayed union (10%) and marginal flap necrosis (21%) were observed.
Conclusion: In our study, early soft tissue coverage with appropriate non-microvascular flaps in management of severe open fractures of tibia was associated with more favourable outcomes.
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Meena, Mahaveer, Vikas Chavan, Sanjay Kumar Ghilley, and Nilesh Kumar Jangir. "Soft tissue coverage techniques for management of open fractures of tibia (type IIIB)." International Journal of Research in Orthopaedics 6, no. 4 (June 23, 2020): 773. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20202683.
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<p class="abstract"><strong>Background:</strong> Open fractures are surgical emergencies; incidence of open fractures is increasing with more high-energy road traffic accidents. The tibia is exposed to frequent injury because of its location. The need for aggressive debridement, adequate fracture fixation, and early flap coverage in reducing the morbidity cannot be over emphasized.</p><p class="abstract"><strong>Methods:</strong> Treatment of open fracture by immediate debridement and anatomical fracture reduction using external fixator device. Gastrocnemius muscle flap done in upper 1/3 open fractures (type IIIB) with larger defects along with split thickness skin graft (STSG). In middle and lower 1/3 open fractures (type IIIB), fasciocutaneous and soleus muscle flaps done with relatively smaller soft tissue defects and exposed bone with STSG.<strong></strong></p><p class="abstract"><strong>Results:</strong> The study included 15 patients with open tibia fracture Gustillo Anderson type IIIB classified after the initial debridement. Excellent flap takes up was seen in all cases. 11 cases (73.3%) achieved union at the end of 6 months follow-up while 4 cases (26.7%) showed delayed union which required additional procedures like BMI or bone graft.</p><p class="abstract"><strong>Conclusions:</strong> Soft tissue coverage techniques like fascicutaneous flap, gastrocnemius and soleus muscle flap had a definitive role in the management of open fractures of tibia (type IIIB).</p>
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Gorkhali, Ranjita Shrestha, Shaili Pradhan, Rejina Shrestha, Shweta Agrawal, Krishna Lamicchane, Pramod Kumar Koirala, and Benju Shrestha. "Evaluation of Bovine Derived Xenograft Combined with Bioresorbable Collagen Membrane in Treatment of Intrabony Defects." Journal of Nepalese Society of Periodontology and Oral Implantology 4, no. 2 (December 31, 2020): 61–67. http://dx.doi.org/10.3126/jnspoi.v4i2.34231.
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Introduction: Treatment of periodontal diseases done by surgical therapy depends upon extent and severity of disease. The ultimate goal of periodontal reconstructive surgery is to regenerate tissues destroyed during periodontal disease.
Objective: To evaluate the effectiveness of bovine-derived xenograft with collagen membrane in treatment of intrabony defects by comparing it with open flap debridement alone.
Methods: This non-randomised controlled trial was conducted after ethical clearance, at Bir hospital from 2018 March to 2019 April. The study recruited 38 patients by convenience sampling, age from 25-44 years, with chronic periodontitis, and willing to sign informed consent. Intrabony defects were treated by open flap debridement with bovine-derived xenograft and bioresorbable collagen membrane (Test group) and open flap debridement alone (Control group). Probing pocket depth, clinical attachment level, gingival recession, oral hygiene status, and gingival status were assessed at baseline and six months.
Results: Six months after therapy, in Test group probing pocket depth reduction was 5.2 mm and gain in mean clinical attachment level was 4.3 mm. In Control group, mean probing pocket depth reduction was 3.8 mm and mean gain in clinical attachment level was 2.7 mm. The test treatment resulted in statistically higher probing pocket depth reduction and clinical attachment level gain than Control group.
Conclusion: Both therapies resulted in significant probing pocket depth reductions and clinical attachment gains, and treatment with open flap debridement with bovine-derived xenografts and collagen membrane resulted in significantly higher probing pocket depth reduction and clinical attachment gain than treatment with open flap debridement alone.
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Gupta, M., AK Lamba, M. Verma, F. Faraz, S. Tandon, K. Chawla, and DK Koli. "Comparison of periodontal open flap debridement versus closed debridement with Er,Cr:YSGG laser." Australian Dental Journal 58, no. 1 (February 27, 2013): 41–49. http://dx.doi.org/10.1111/adj.12021.
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Ramadhany, Eka Pramudita, Al Sri Koes Soesilowati, and Sri Pramestri Lastianny. "Effect of sandwich bone augmentation using hydroxyapatite and demineralized freeze- dried bone on infrabony pocket treatment." Majalah Kedokteran Gigi Indonesia 5, no. 3 (February 27, 2020): 114. http://dx.doi.org/10.22146/majkedgiind.37427.
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Periodontitis is periodontal inflammation in response to plaque bacterial antigens, causing damage to periodontal ligament and alveolar bone resorption. Bone graft material combination i.e. demineralized freeze-dried bone allograft (DFDBA) and hydroxyapatite (HA) using sandwich bone augmentation (SBA) method will support each other and will be beneficial to be used as a scaffold. The body takes long time to resorb HA so this could complement DFDBA which is more easily dissolved. This study aimed to reveal the effect of bone graft addition using SBA method on the treatment of infrabony pocket with open flap debridement in terms of probing depth, relative attachment loss, alveolar bone height, and density. This study was carried out to 20 infrabony pockets, where 10 of them were treated using open flap debridement with HA addition, while the other 10 groups were treated using open flap debridement with DFDBA and HA using SBA method. Probing depth and relative attachment loss were measured on days 0, 30 and 90. Bone height and density were measured using cone-beam computed tomography (images on day 0 and 90). The study showed that probing depth reduction on SBA group was greater than HA group. There were significant differences in probing depth and relative attachment loss examinations. However, bone height and bone density reduction did not show any significant difference. The conclusion from this study is open flap debridement using SBA method yields better regeneration in terms of probing depth and relative attachment loss than open flap debridement with HA addition. There is no difference in bone height and bone density between the two groups.
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Bruce, Jeffrey N., and Samuel S. Bruce. "Preservation of bone flaps in patients with postcraniotomy infections." Journal of Neurosurgery 98, no. 6 (June 2003): 1203–7. http://dx.doi.org/10.3171/jns.2003.98.6.1203.
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Object. Management of postcraniotomy wound infections has traditionally consisted of operative debridement and removal of devitalized bone flaps followed by delayed cranioplasty. The authors report the highly favorable results of a prospective study in which postcraniotomy wound infections were managed with surgical debridement to preserve the bone flaps and avoid cranioplasty. Methods. Since 1990, 13 patients with postcraniotomy wound infections have been prospectively treated with open surgical debridement and replacement of the bone flap. All patients received a full course of systemic antibiotic agents based on the determination of the bacterial culture and antibiotic sensitivity. Notable risk factors for infection included prior craniotomies, radiotherapy, and skull base procedures. The mean long-term follow-up period was 35 × 20 months. In all five patients who underwent craniotomies without complications, bone flap preservation was possible with full resolution of the infection and without the need for additional surgery. Among the eight patients with risk factors, bone preservation was possible in six patients, although two required minor wound revisions (without bone flap removal). Both patients who underwent craniofacial procedures required an additional procedure in which the bone flap was removed for recurrent infection (one after 2 months and the other after 29 months). Conclusions. In patients with uncomplicated postcraniotomy infections, simple operative debridement is sufficient and it is not necessary to discard the bone flaps and perform cranioplasties. Even patients with risk factors such as prior surgery or radiotherapy can usually be treated using this strategy. Patients who undergo craniofacial surgeries involving the nasal sinuses are at higher risk and may require bone flap removal.
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Zigdon, Hadar, Liran Levin, Margarita Filatov, Orit Oettinger-Barak, and Eli E. Machtei. "Intraoperative Bleeding During Open Flap Debridement and Regenerative Periodontal Surgery." Journal of Periodontology 83, no. 1 (January 2012): 55–60. http://dx.doi.org/10.1902/jop.2011.110182.
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Yukna, Raymond A. "Osseous defect responses to hydroxylapatite grafting versus open flap debridement." Journal of Clinical Periodontology 16, no. 7 (August 1989): 398–402. http://dx.doi.org/10.1111/j.1600-051x.1989.tb01667.x.
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Bhavani, Peddireddy. "Soft Tissue Healing and IL-6 Cytokine Levels in Microsurgical and Conventional Open Flap Debridement in Patients with Chronic Periodontitis - A Randomized Clinico-Biochemical Trial." Journal of Evolution of Medical and Dental Sciences 10, no. 34 (August 23, 2021): 2928–33. http://dx.doi.org/10.14260/jemds/2021/597.
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BACKGROUND The present study was conducted to compare clinical outcomes and gingival crevicular fluid (GCF) interleukin (IL)-6 cytokine levels in microsurgical and conventional open flap debridement procedure. METHODS Thirty sites in chronic periodontitis patients were randomly assigned into Group I (microsurgical) and Group II (conventional) open flap debridement in a split-mouth design. Gingival bleeding index (GBI), probing pocket depth (PPD), relative attachment level (RAL) were recorded at baseline and 3 months. GCF IL-6 cytokine levels were assessed at baseline and on 3rd day postoperatively. Pain perception using visual analog score (VAS) and soft tissue healing using early healing index (EHI) were assessed after on 7th day post-surgery. RESULTS There was a significant reduction in gingival bleeding index, probing pocket depth, relative attachment level within both the groups. Intergroup gingival bleeding index scores were statistically significant at the end of 3 months. The difference in visual analog scores between the two groups was found to be statistically insignificant whereas early healing index scores between the groups was found to be statistically significant. Group I showed lower levels of IL-6 on 3rd day postoperatively. It was also found that there was positive correlation of IL-6 levels with clinical parameters such as PPD and RAL. CONCLUSIONS Open flap debridement using microsurgical approach can substantially improve clinical parameters and wound healing compared with conventional macrosurgical approach. IL-6 levels were lower in microsurgical group indicating less invasive surgical approach. KEY WORDS Open Flap Debridement, Periodontal Microsurgery, Wound Healing, IL-6, Cytokine, GCF.
Dissertations / Theses on the topic "Open flap debridement"
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PANDA, SOURAV. "EVALUATION OF CLINICAL AND RADIOLOGICAL EFFECTIVENESS OF PLASMA RICH IN GROWTH FACTORS (PRGF®) IN MANAGEMENT OF PERIODONTAL INTRAOSSEOUS DEFECTS." Doctoral thesis, Università degli Studi di Milano, 2021. http://hdl.handle.net/2434/818945.
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Background: Plasma Rich in Growth Factors (PRGF) is a mixture of autologous proteins and growth factors, prepared from a certain volume of platelet-rich plasma obtained from a small volume of blood, which does not contain leukocytes.
Aim: The aim of the study was to evaluate the clinical and radiological efficacy of Plasma rich in growth factors (PRGF) in adjunct to open flap debridement (OFD) and intra-marrow penetration (IMP) compared to OFD and IMP alone for management of periodontal intra-osseous defects in periodontitis patients.
Material and methods: Twenty patients with forty contra-lateral sites presenting with >5mm pocket depth and >3mm of intra-bony defect component were recruited in this double blind, split-mouth randomized controlled trial. The experimental site was surgically treated with PRGF in adjunct to OFD and IMP; and the control sites were treated with OFD and IMP alone. The clinical parameters like site specific plaque index (SSPI), site specific gingival index (SSGI), probing pocket depth (PPD), relative attachment level (RAL), gingival marginal level (GML), site-specific bleeding on probing (SSBOP) were recorded at baseline, 3, 6 and 9 months. The radiological parameters like intra-bony defect depth (IBDD), intra-bony defect area (IBDA) and percentage intra-bony defect area fill (%IBDAF) was recorded at baseline, 6 and 9 months. The patient reported outcomes on swelling, bleeding and level of pain in the area treated were also assessed at day 1 to day7.
Results: No significant difference was observed for PI, GI and PPD. A Significant favorable improvement in GML was observed in PRGF treated group at all time points, suggesting continuous vertical creeping of the free gingival margin in the PRGF group at 3, 6 and 9 months. The clinical attachment gain (CAG) was significantly higher in the PRGF group at 3 months (p=0.005) and borderline significance at 6 months (p=0.067). The linear radiographic bone gain, i.e, change in IBDD, was significantly higher in the PRGF treated group at 6 months (p=0.02). At 6 months, the PRGF was significantly superior to the OFD (50% Vs 15%) in the number of sites that achieved CAG by 1.5 mm and linear radiographic bone gain of 1.0 mm. At 9 months, the PRGF was border-line significance than the OFD (83% Vs 50%) in the number of sites that achieved CAG by 1.5 mm and linear radiographic bone gain of 1.0 mm.
Conclusion: PRGF was found to beneficial in terms of improved clinical attachment gain and radiographic linear bone gain, when used in adjunct to OFD and IMP for management of periodontal intra-osseous defects.
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Chen, Tsung-Hung, and 陳宗宏. "Part I: A systematic review of the treatment effect of guide tissue regeneration with or without bone grafting on the treatment of molar class II furcation involvement with meta-analysis. Part II: A systematic review of the outcome comparison between open flap debridement, enamel matrix derivatives, guided tissue regeneration and combination therapy on the treatment of animal molar class III furcation involvement." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/69527371714978119876.
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碩士臺北醫學大學
牙醫學系碩博士班
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Aim: In the last two decades, several techniques have been proposed to achieve the goal of improving the prognosis of furcation involved teeth, such as open flap debridement, resective/inductive osseous surgery, guided tissue regeneration and growth factors combined into the surgeries. This study aim to systemic review the efficacy of guided tissue regeneration with membrane technique (with/without osseous grafting), enamel matrix derivative and open flap debridement along with meta-analysis to establish the evidences and guidelines in clinical therapy of periodontal furcation defects. Materials and methods: Randomized controlled clinical trials (RCTs) of at least 6 months’ follow up comparing open flap debridement (OFD), guided tissue regeneration with membrane technique (GTR), and combined approach of GTR and osseous grafting are searched from the data sources including electronic databases (the Cochrane Oral Health Group specialist trials register and MEDLINE and PubMed up to and including March 2012) and hand-searched journals. Through the question format “PICOS”, data from the including articles are extracted and processed for meta-analysis. The outcomes measure are furcation closure rate, vertical/ horizontal bone fill (re-entry) and vertical/horizontal attachment level gain. On the seconed part, animal studies were searched with regard to comparison of OFD, GTR, enamel matrix derivative (EMD), and GTR+EMD in treatment of class III furcation defects. After the PICOS procedure, the data were extract for meta-analysis. The outcomes measure are new bone formation and new cementum formation in percentage. Results: The meta-analysis showed that the GTR and GTR+OG groups achieved better clinical results than OFD group in all the outcome measurement (P < 0.001). The GTR+OG group obtained greater clinical benefits than GTR group (P < 0.001). The outcomes of animal studies systemic review showed that the heterogeneities among the included studies are too high to conduct a meta-analysis. Conclusion: According to this systemic review of RCTs, the GTR technique seemed to be more effective than OFD for resolving class II periodontal furcation defects, and the GTR+OG technique showed even better clinical results. The outcomes were better for mandibles molars than for maxillary molars. However, the data indicated that complete resolution of mandible furcation still did not occur consistently. In the second part, there were great heterogeneities among animal studies and meta-analysis was not possible. The outcomes of each study couldn’t show any successful resolution of furcation defects. Further comprehensive studies should be made to establish a more predictable therapy of class III furcation defects.
Books on the topic "Open flap debridement"
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Calder, Peter. Chronic long bone osteomyelitis. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199550647.003.011001.
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Pathological features of chronic osteomyelitis♦ Necrotic bone♦ Compromised soft tissues with reduction in vascularity♦ Ineffective host response♦ Sequestrum formation♦ New bone formation from viable periosteum and endosteum♦ Formation of involucrum:Treatment principles in chronic osteomyelitis♦ Surgical debridement – remove all devitalized necrotic tissue♦ Dead space management:• Soft tissue defect – avoid healing by secondary intention. Consider local and free flaps• Bone defects – small structural with autologous bone graft, consider Papineau ‘open bone grafting’ where free tissue transfer is not an option, distraction osteogenesis with bifocal and bone transport for large defects including fibula transfer♦ Bone stability – movement needs to be eliminated♦ Antibiotic therapy – based on culture and sensitivity, local administration with PMMA beads or collagen sponge, Lautenbach procedure in resistant cases.
Book chapters on the topic "Open flap debridement"
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Shatta, Amer, and Sukumaran Anil. "Peri-Implantitis Revisited." In Dentistry. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.100293.
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Dental implants have become a well-accepted treatment option for patients with partial or complete edentulism. The long-term success of the endosseous dental implant depends not only on osseointegration, but on the healthy soft tissue interface that surrounds the implant. Peri-implantitis is defined as an inflammatory process affecting the supporting hard and soft tissue around an implant in function, leading to loss of supporting bone. Peri-implant mucositis has been defined as a reversible inflammatory reaction in the peri-implant mucosa surrounding an osseointegrated dental implant. Peri-implant mucositis is assumed to precede peri-implantitis. Data indicate that patients diagnosed with peri-implant mucositis may develop peri-implantitis, especially in the absence of regular maintenance care. However, the features or conditions characterizing the progression from peri-implant mucositis to peri-implantitis in susceptible patients have not been identified. The most common etiological factors associated with the development of peri-implantitis are the presence of bacterial plaque and host response. The risk factors associated with peri-implant bone loss include smoking combined with IL-1 genotype polymorphism, a history of periodontitis, poor compliance with treatment and oral hygiene practices, the presence of systemic diseases affecting healing, cement left behind following cementation of the crowns, lack of keratinized gingiva, and previous history of implant failure There is strong evidence that there is an increased risk of developing peri-implantitis in patients who have a history of severe periodontitis, poor plaque control, and no regular maintenance care after implant therapy. Management of peri-implantitis generally works on the assumption that there is a primary microbial etiology. Furthermore, it is assumed that micro-organisms and/or their by-products lead to infection of the surrounding tissues and subsequent destruction of the alveolar bone surrounding an implant. A combination of surgical, open debridement, and antimicrobial treatment has been advocated for the treatment of peri-implantitis. Surgical intervention is required once a patient has bleeding on probing, greater than 5 mm of probing depth, and severe bone loss beyond that expected with remodeling. Access flaps require full-thickness elevation of the mucoperiosteum, facilitating debridement and decontamination of the implant surface via hand instruments, ultrasonic tips, or lasers. When necessary, surgical procedures may be used in conjunction with detoxification of the implant surface by mechanical devices, such as high-pressure air powder abrasion or laser.
Conference papers on the topic "Open flap debridement"
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Froum, S., and M. Weinberg. "TEMPORAL CHANGES IN CLINICAL RESPONSES OF HUMAN PERIODONTAL DEFECTS TREATED WITH OPEN FLAP DEBRIDEMENT OR BIOACTIVE GLASS OVER 6-12 MONTH HEALING PERIOD." In Proceedings of the 12th International Symposium on Ceramics in Medicine. WORLD SCIENTIFIC, 1999. http://dx.doi.org/10.1142/9789814291064_0009.
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Pachnicki, Jan Pawel Andrade, Alice Soares Paes Giugliano Meschino, Fernanda Cristina Kilian, Gabriela Vanim de Moraes, and Sarah Oliveira de Lima. "PUERPERAL MASTITIS COMPLICATED WITH MYIASIS: A CASE REPORT." In Scientifc papers of XXIII Brazilian Breast Congress - 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s1083.
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Introduction: Puerperal mastitis is an inflammatory process of the mammary gland that affects women during lactation, due to stasis in the mammary ducts. The clinical findings vary from focal inflammation to abscesses when not treated early. Additional complications may arise, such as tissue loss by necrosis, leading to the appearance of opportunistic diseases. Myiasis consists of appearance of fly larvae in these tissues, a rare condition in humans. When in cutaneomucosal area, there are complaints of intense pruritus and local pain. The authors seeked to correlate the clinical aspects of puerperal mastitis with breast involvement by myiasis, aiming at the importance of early management and treatment of these pathologies. Case report: A 23-year-old patient, GIV PIII, was admitted to a maternity hospital in Paraná, Brazil, with mastitis. The day after the admission, under treatment with Oxacillin, she evolved to natural birth. During the immediate puerperium, abscedation was observed, and surgical drainage was indicated. The patient refused to be submitted to the procedure and evaded the hospital. One week later, she returned with an engorged, edematous and hyperemic right breast, with fluctuation point at 2h and spontaneous drainage of purulent secretion, in addition to a subareolar hematoma. The patient was submitted to drainage, surgical debridement, removal of the myiasis larvae noticed in the mammary tissue, and placement of a drain. Material sent for culture demonstrated growth of Staphylococcus epidermidis; deescalating broad-spectrum antibiotic regimen started empirically when she was admitted, associated with Ivermectin and Cabergoline. She presented a satisfactory response of the inflammatory process, though dehiscence of the surgical wound occurred, and she was submitted to reconstruction with breast flap during reoperation. The diagnosis of mastitis is based on breast tenderness, local flogistic signs, decreased lactopoiesis, associated with fever and fatigue, and among its serious complications is the breast abscess. The patient presented a unilateral mastitis complaining of pain, edema, local heat and hyperemia, in addition to periareolar purulent discharge and abscedation, suggesting complicated puerperal mastitis. However, because the case was not immediately resolved, the clinical situation deteriorated, with perimammary necrosis and myiasis. The necrosed tissue facilitated the penetration of larvae, a determining factor for this co-infection. It is prevalent in developing countries with poor sanitary conditions, and open wounds or necrosis are more favorable for the growth of larvae. It is necessary to emphasize the importance of good personal hygiene and adequate clothes’ washing, especially in endemic areas of myiasis, to avoid this complication and its late diagnosis.