Reconstruction of anterior chest wall: a clinical analysis
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(2018) 13:124
RESEARCH ARTICLE
Open Access
Reconstruction of anterior chest wall: a clinical analysis Erji Gao†, Yang Li†, Tiancheng Zhao, Xiang Guo, Weiwei He, Weiming Wu, Yonghong Zhao and Yi Yang*
Abstract Objective: To investigate the methods and clinical efficacy of reconstruction of chest defects with titanium sternal fixation system after the surgical resection of sternal tumors. Methods: A total of 6 patients with sternal tumor who were diagnosed and underwent resection and repair of the chest wall defects by titanium plates system, from 2017.3 to 2017.11 in our hospital were reviewed. Their pathological types, surgical reconstruction methods, follow-up results were analyzed. Results: Six cases of sternal tumor were completely resected and the sternums were reconstructed with titanium sternal fixation system. There was no operative death, postoperative chest wall deformity, abnormal breathing or complications of respiratory circulation. After 3 to 10 months of follow-up, there was no loose screw or plate exposure. Not only the thoracic appearances were good, but patients’ satisfaction was high. Conclusions: Surgical resection is the best treatment for sternal tumors, no matter it is benign or malignant. Titanium sternal fixation system combine with other soft materials can reconstruct the chest wall well after resection, and this technique is efficient as well as easy to learn. Keywords: Sternal tumor, Titanium sternal fixation system, Reconstruction of the chest wall
Background Sternal tumors are relatively rare, and there are few reports in the literature. Surgical resection is the main treatment. However, when the sternal defect is large, the respiratory function may be seriously affected. Then, thoracic reconstruction is required. This is the key and difficult procedure of surgical treatment. Although there are methods such as 3D printing materials, ordinary metal and metal mesh, they either are complicated to operate or have limited availability so they cannot be clinically promoted.
operative results depend on chest films and their degree of satisfaction about the postoperative motor function and appearance. They are reported below. All patients were hospitalized for finding a lump or chest pain for some time in anterior chest wall. But case 5 had a medical history of bilateral thyroidectomy 3 years ago and sternal destruction was found before the operation. After thyroidectomy, radiotherapy and isotope therapy were applied for the sternum mass. More information is showed in Table 1.
Methods We select 6 representative cases of sternal tumors whose chest wall was reconstructed with titanium sternal fixation system in our hospital from March 2017 to November 2017 to share our experience in reconstructing different kinds of anterior chest wall defects. After a maximum follow-up of 10 months, we evaluated our
Operative techniques
* Correspondence: [email protected] † Erji Gao and Yang Li contributed equally to this work. Department of thoracic surgery, Shanghai Jiao Tong University Affiliated
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