Customized Cutting Template to Assist Sternotomy in Pectus Arcuatum.
Ann Thorac Surg
; 107(4): 1253-1258, 2019 04.
Article
in En
| MEDLINE
| ID: mdl-30508532
ABSTRACT
PURPOSE:
Pectus arcuatum is an anterior chest wall deformity that requires transverse wedge sternotomy. Determining and delivering the correct cutting angle are crucial for successful correction. This report describes the early clinical experience with a novel cutting template technology able to deliver the optimal cutting angle. DESCRIPTION From patients' computed tomographic scans, the optimal cutting angle is obtained using computer-aided design. A template comprising slots tilted at the right cutting angle and a safety block to avoid damaging the posterior periosteum is printed through additive manufacturing. EVALUATION The template allows surgeons to perform a precise wedge sternotomy, safely sparing the posterior periosteum in all patients, without complications. Postoperative chest roentgenograms and clinical photographs demonstrate optimal sternal realignment and cosmetic outcome. In this report, the mean operative time was 110 minutes. All patients were successfully discharged, with a mean length of stay of 4 days.CONCLUSIONS:
Transverse wedge sternotomy aided by a computer-aided design-devised cutting template may reduce the technical challenge of this procedure, thereby increasing its safety and reducing operative times and hospital stay. Further research on long-term patient outcomes is necessary.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Computer-Aided Design
/
Plastic Surgery Procedures
/
Imaging, Three-Dimensional
/
Sternotomy
/
Pectus Carinatum
Type of study:
Etiology_studies
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Language:
En
Journal:
Ann Thorac Surg
Year:
2019
Document type:
Article
Affiliation country: