Reconstruction of anterior chest wall: a clinical analysis

Abstract

ObjectiveTo investigate the methods and clinical efficacy of reconstruction of chest defects with titanium sternal fixation system after the surgical resection of sternal tumors.MethodsA 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.ResultsSix 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.ConclusionsSurgical 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.

Innovative chest wall reconstruction with a locking plate and cement spacer after radical resection of chondrosarcoma in the sternum: A case report

“…Several studies have demonstrated various chest wall reconstruction methods in the fields of cardiac and thoracic surgery. Gao et al [ 13 ] reported on the use of titanium sternal fixation systems for reconstruction, while Ma et al [ 4 ] performed sternal reconstruction with 3-dimensional (3D) custom-made prostheses. Metal prosthesis carries the advantage of establishing adequate chest wall stability, but there are some limitations regarding the use of metal prosthesis including prosthesis dislocation, infection, or inappropriate sizing.…”

Evaluation of Clinical Performance of TiNi-Based Implants Used in Chest Wall Repair after Resection for Malignant Tumors

“…However, to reconstruct the sternocostal framework, the use of synthetic materials and implants comes to the fore. Biomaterials most often applied for these purposes are meshes and sheets made of vicryl, mersilene, teflon, polycaproamide, polypropylene, polytetrafluoroethylene, titanium, stainless steel, or combinations thereof [ 11 , 12 , 13 , 14 , 15 , 16 , 17 ]. Noted disadvantages of these implants include secondary wound infections in up to 6% of cases [ 18 ], inadequate thoracic cage rigidity, respiratory dysfunction, and seroma, which often leads to revision surgery and the removal of an inconsistent device.…”

“…Noted disadvantages of these implants include secondary wound infections in up to 6% of cases [ 18 ], inadequate thoracic cage rigidity, respiratory dysfunction, and seroma, which often leads to revision surgery and the removal of an inconsistent device. There are published reports on the use of sternal and costal endografts made from fluorine- or carbon-containing materials, and of vascular grafts [ 12 , 13 ]. The concerns typically encountered when considering these surgical procedures are related to late complications, side effects, and inadequate follow-up and physical rehabilitation, stemming from the incomplete restoration of the framework of the thoracic cage.…”

Preserving the posterior cortex of the sternum during resection of a superficial anterior chest wall sarcoma

“…To avoid respiratory dysfunction, rigid reconstruction is necessary after resection of a sternum tumor [ 1 ]. Indeed, titanium plates have been widely used for this purpose [ 2 , 3 ] because titanium plates are biocompatible [ 4 ] and can be shaped to fit thoracic defects [ 5 ].…”