Sternal resection and reconstruction after malignant tumours

Galbis-Caravajal, José M.; Sánchez, Luis Yeste; Diana, Carlos Fuster; Jorge, Ricardo; Ortiz, Paula Fernández; Deaville, Pam J.

doi:10.1007/s12094-009-0320-3

Cited by 8 publications

(7 citation statements)

References 15 publications

(17 reference statements)

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“…The follow-up allowed saying that the ceramic sternum was not involved as no infection occurred. Even if a direct comparison is difficult as fortunately, the number of patients requiring this type of surgery is low (only a mean of 2.3 patients per year per department in the literature[ 4 5 6 ]), the number of complications observed in this study is approximately the same as those found in the literature. Zhang found one hematoma in eight patients receiving a titanium mesh.…”

Section: Discussionsupporting

confidence: 53%

Porous alumina ceramic sternum: A reliable option for sternal replacement

Bertin¹,

Piccardo²,

Denès

et al. 2018

Ann Thorac Med

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CONTEXT:To date, there is no gold standard technique for sternum replacement. Current techniques rely on metallic prosthesis, meshes and bars, or bone grafts. However, they have several pitfalls.AIMS:The aim of this article is to report the results of sternal replacement with a porous alumina ceramic sternum.SETTINGS AND DESIGN:Surgeries were performed in two teaching hospitals in France.METHODS:We designed a porous alumina ceramic prosthesis which possesses interesting characteristics for this surgery such as great biocompatibility, a certain level of bacterial resistance, radiolucency, and compatibility with radiotherapy. The implant is stitched to the ribs with suture thread and does not require osteosynthesis material.RESULTS:Six patients with a mean age of 60.6 years received this prosthesis. Indication was tumor in five cases and mediastinitis in one case. The mean follow-up is 20 months (3–37 months). No major complication occurred and healing was fine for all patients. Patients did not complain of breathing discomfort or pain related to the prosthesis.CONCLUSIONS:This new technique is promising even if there are only six patients in this study.

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Section: Discussionsupporting

confidence: 53%

Porous alumina ceramic sternum: A reliable option for sternal replacement

Bertin¹,

Piccardo²,

Denès

et al. 2018

Ann Thorac Med

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“…Her clinical condition was compatible with good tolerance of this type of implant in children (►Fig. 7).…”

Section: Case Reportmentioning

confidence: 66%

Porous Ceramic Sternal Prosthesis Implantation in a 13-Year-Old Patient Presenting with Metastatic Ewing's Sarcoma

Mainard

Sharma

Fron

et al. 2022

European J Pediatr Surg Rep.

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Ewing's sarcoma is the second most frequent primary malignant bone tumor in adolescents and young adults. Locations on the thoracic wall represent up to 20% of primary and secondary locations. We present the case of a 13-year-old patient treated with the use of a radiolucency porous bioceramic prosthesis as a sternal replacement for a wide tumor resection in an oncologic context. Focal radiation therapy was not possible due to the high risk of severe myocardial injuries caused by the sternal location of the tumor. The sternum CERAMIL® (I.CERAM, Limoges, France), in porous alumina (Al2O3) has already been implanted into adults in sternal replacement during its invasion by a tumor or its infectious destruction. There were no complication concerning the surgery. The last follow-up at 2 years postoperatively reveals a satisfactory clinical situation with any functional thoracic complaint and nor any functional respiratory symptoms. The porous alumina sternal prosthesis offers a reliable alternative for sternal replacement indications for children in an oncologic context.

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“…Surgical treatment should be considered the best option in most patients with primary and secondary malignant tumors involving the sternum, and it can achieve a definitive or palliative cure. 3,10 However, sternal reconstruction after resection is essential to prevent flap movement and consequent paradoxical respiration, and to restore chest wall rigidity to protect the underlying mediastinal structures. 4,11,12 The material used for sternal reconstructions has evolved considerably over the last several decades.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Although the role of surgical treatment in such cases remains controversial, it should be considered the best option in most patients with primary and secondary malignant tumors involving the sternum, and it can achieve a definitive or palliative cure. 3 However, resection of the entire sternum or part of the sternum without any reconstruction may result in paradoxical movement of the thorax and impaired ventilation. Moreover, reconstruction of bony and soft tissue defects of the sternum after resection can also restore chest wall rigidity, which helps to protect the underlying mediastinal structures.…”

mentioning

confidence: 99%