Customized Titanium Implant for Chest Wall Reconstruction in Complex Poland Syndrome

Abstract

Summary:This report describes a new method for the surgical repair of the chest wall deformity encountered in complex Poland’s syndrome. In this report, we describe the use of a customized titanium implant that was used to replace the missing second through fifth ribs and to provide chest wall stabilization before breast reconstruction. This approach might be considered an alternative to autologous rib grafting in patients who have reached skeletal maturity. It avoids the morbidity and risk associated with rib grafts and improves chest wall symmetry.

Serie de Casos: Síndrome de Poland Completo vs. Incompleto. Resolución Quirúrgica

“…Se pueden usar una serie de tratamientos que se aplican solos o combinados para mejorar el complejo defecto que involucra: piel, tejido subcutáneo, mama, músculo, costillas y otras anomalías esqueléticas, entre los tratamiento se describen el lipofilling, expansión de tejidos, implantes, prótesis preformadas, colgajos de músculo, todas estas solas o combinadas [9]. El abordaje quirúrgico de las malformaciones de tejidos blandos y condrocostales (costillas deformes o ausentes) dependerá de la edad del paciente, por lo general se usan implantes autólogos de costillas.…”

A technique for pediatric chest wall reconstruction using custom-designed titanium implants: Description of technique and report of two cases

“…No evidence of rib fracture or implant subsidence has yet been identified in the follow-up period. A subset of the surgical data for this patient has been previously reported from the perspective of breast reconstruction [ 7 ].…”