{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T14:07:53Z","timestamp":1768313273921,"version":"3.49.0"},"reference-count":14,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,1,12]],"date-time":"2018-01-12T00:00:00Z","timestamp":1515715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Venous coupling devices are widely used during reconstructive surgery involving microvascular anastomosis but have not served as foreign bodies in head and neck surgical site infections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a case report.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A patient underwent resection and free flap reconstruction for recurrent tongue squamous cell carcinoma. She developed a neck abscess due to <jats:italic>Streptococcus intermedius<\/jats:italic> 7 weeks postoperatively, days after starting chemoradiotherapy. The surgical site infection healed with drainage and antibiotics. Two surgical site infection relapses due to <jats:italic>S. intermedius<\/jats:italic> occurred 3 and 8 weeks after completing radiation, the second relapse after a prolonged course of i.v. antibiotics. Surgical exploration revealed a venous coupler within granulation tissue. The device was removed and no further surgical site infection relapses occurred.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>To the best of our knowledge, this is the first report of a delayed\u2010onset head and neck surgical site infection in which a venous coupler served as a foreign body. An infected foreign body should be suspected in relapsing surgical site infections due to a single organism.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.25043","type":"journal-article","created":{"date-parts":[[2018,1,12]],"date-time":"2018-01-12T14:50:50Z","timestamp":1515768650000},"source":"Crossref","is-referenced-by-count":3,"title":["Case of late\u2010onset, relapsing surgical site infection related to a venous coupler placed during free flap reconstruction for major head and neck cancer"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3865-0012","authenticated-orcid":false,"given":"Yin","family":"Ren","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Massachusetts Eye and Ear Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel G.","family":"Deschler","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Massachusetts Eye and Ear Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dipti","family":"Sajed","sequence":"additional","affiliation":[{"name":"Department of Pathology Massachusetts General Hospital Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marlene L.","family":"Durand","sequence":"additional","affiliation":[{"name":"Department of Medicine Infectious Disease Unit, Massachusetts General Hospital, and Infectious Disease Service, Massachusetts Eye and Ear Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,1,12]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"Centers for Disease Control and Prevention (CDC).Surgical Site Infection Event. 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