Mind the gap! Interdisciplinary approach to anterior chest wall reconstruction after total sternectomy.
J Cardiothorac Surg
; 19(1): 269, 2024 Apr 30.
Article
em En
| MEDLINE
| ID: mdl-38689350
ABSTRACT
BACKGROUND:
There are various reconstructive methods after total sternectomy. Reproducibility is scarce due to overall small patient numbers. Therefore we present a standardized, interdisciplinary approach for thoracic and plastic surgery.METHODS:
Four patients underwent interdisciplinary chest wall reconstruction with STRATOS® titanium bars and myocutaneous vastus lateralis muscle free flap in our center.RESULTS:
All patients reported chest wall stability after reconstruction. They reported good quality of life, no dyspnea, prolonged pain or impairment in lung function from rigid reconstruction. FEV1/FVC was overall better after surgery. Secondary wound healing was not impaired and there was no implant defect in follow up.CONCLUSIONS:
We recommend an interdisciplinary surgical approach in chest wall reconstruction after total sternectomy. The combination of rigid reconstruction with titanium bars and a myocutaneous vastus lateralis muscle free flap renders excellent results in patient satisfaction and is objectifiable via spirometry.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Esterno
/
Procedimentos de Cirurgia Plástica
/
Parede Torácica
Limite:
Aged
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
J Cardiothorac Surg
Ano de publicação:
2024
Tipo de documento:
Article