Sternal Tumor Resection and Reconstruction with Titanium Mesh: a Preliminary Study

Zhang, Yan; Li, Jiazhen; Hao, Yingjie; Lu, Xin; Shi, Hong; Liu, Yuan; Zhang, Peng-Fei

doi:10.1111/os.12169

Cited by 21 publications

(28 citation statements)

References 23 publications

(23 reference statements)

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“…To our knowledge, only 13 patients with SS-LCH of the sternum have been reported (10)(11)(12). It is interesting that most SS-LCH patients were female (male:female:unknown ratio, 2:9:2), which was in direct contrast to the male to female LCH ratio.…”

Section: Case Presentationmentioning

confidence: 43%

Adult-onset Langerhans cell histiocytosis of the sternum

et al. 2017

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Langerhans cell histiocytosis (LCH) is a rare disease with uncertain etiology that is more prevalent in children. LCH typically invades skeletal systems, but in rare cases, it has been reported in the ribs or sternum. Optimal treatment choices for single-site, skeletal LCH are still undefined. We report a case of adult-onset LCH of the sternum. The range of surrounding soft tissue invasion was confirmed by threedimensional fusion and reconstruction of chest computed tomography and magnetic resonance images. Our patient was successfully treated by local surgical curettage and adjuvant radiation therapy. We concluded that postoperative adjuvant radiation therapy may be advantageous for single-site LCH of bones with soft tissue invasion.

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Section: Case Presentationmentioning

confidence: 43%

Adult-onset Langerhans cell histiocytosis of the sternum

et al. 2017

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“…Bone banks are available only in select healthcare delivery centers. Titanium mesh is well tolerated without much of complications and suitable for large sternal defects [7]. Titanium mesh we used in the second case was essential due to size of the defect.…”

Section: Discussionmentioning

confidence: 99%

Rare primary sternal tumours – Reports of two cases

Rout¹,

Parija²,

Mohanty³

2019

J Surg Surgical Res

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Primary tumours arising from sternum are rare. We came across two patients with primary tumours arising from sternum, one malignant (Ewings sarcoma) and the other benign in nature (giant cell tumour) which are very uncommon. After wide local excision the reconstruction was done by using autologous free rib graft in one and titanium mesh in other. In both the cases the coverage was provided with pectoralis major muscles. After six months both were disease free with chest wall integrity well maintained. We believe the reconstructive options adopted by our team for these cases are simple, bio-compatible and reproducible.

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“…Sternal tumors are rare, comprising only 0.94% of all bone tumors, with the majority being sarcomas. 1 The most common sternal tumors are chondrosarcomas, followed by osteosarcoma, myeloma, and malignant lymphoma. Patients present with variable symptoms, including chest pain, palpable mass, and signs of swelling.…”

Section: Introductionmentioning

confidence: 99%

“… 2 , 3 Radical or extended resection has become the gold standard for treating sternal tumors because it reduces the chances of local recurrence. 1 , 2 , 4 However, even with radical resection and reconstruction, survival rates remain low for patients with primary sternal tumors. A study of 36 patients who underwent sternal resection of primary malignant tumors reported that the overall 5-year survival rate for resection and reconstruction was 66% (low–intermediate grade: 77%; high grade: 47%).…”

Section: Introductionmentioning

confidence: 99%

“…Postsurgery defects in the chest wall can cause a floating chest wall, and reconstruction must provide protection for vital organs within the chest, maintain chest wall stability, and prevent cardiopulmonary dysfunction. 1 Ideal reconstructive materials allow for structural integrity, closely approximate normal anatomy, and sustain long-term retention in the body. These substances must also be radiopaque and easily cut, shaped, fixed, and sterilized.…”

Section: Introductionmentioning

confidence: 99%

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Sternal Tumor Resection and Reconstruction Using Iliac Crest Autograft

Drinnon

Sherali

Cox

2020

Plastic and Reconstructive Surgery - Global Open

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Background: Primary malignant tumors of the sternum are rare among bone tumors. Even with radical resection, the survival rate for sternal tumors remains low. Resection often results in significant bone defects in the chest wall, and reconstruction must provide adequate protection for pulmonary and respiratory structures. Flexible materials have historically been used for sternal reconstructions following failed sternotomies in cardiac surgery. Although these have had some success, they fail to provide adequate support for patients undergoing reconstruction secondary to tumor resection, who are otherwise healthy and active. Although rigid materials offer greater protection, they frequently cause chronic pain and respiratory complications. More recently, bone grafts have been used to reconstruct sternal defects, and the limited published reports are promising. Methods: We present the case of a patient diagnosed with an extramedullary solitary bone plasmacytoma who underwent a sternal resection and reconstruction with an autogenous bone graft taken from the iliac crest and secured in place with 5 plates (3 sternal and 2 mandibular). Results: At 9-month follow-up, bone marrow biopsy showed no evidence of multiple myeloma. X-ray, computed tomography, and Pulmonary Function Test (PFT) scans confirmed graft stability, and the patient has returned to normal activities. Conclusions: Sternal resection and reconstruction is an effective method for treating extramedullary solitary plasmacytoma when radiation is ineffective. In cases of significant segmental defects, iliac crest bone graft may be a viable option for repairing sternal defects following tumor resection.

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Sternal Tumor Resection and Reconstruction with Titanium Mesh: a Preliminary Study

Abstract: Titanium mesh chest reconstruction after sternal tumor resection has the advantages of simplifying the procedure, achieving a good shape and having few complications. Titanium mesh is an ideal material for reconstruction of the sternum.

Cited by 21 publications

References 23 publications

Adult-onset Langerhans cell histiocytosis of the sternum

Adult-onset Langerhans cell histiocytosis of the sternum

Rare primary sternal tumours – Reports of two cases

Sternal Tumor Resection and Reconstruction Using Iliac Crest Autograft

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