[Resection and reconstruction of sternum].

Authors:
Masayuki Okui
Masayuki Okui
School of Medicine
Salt Lake City | United States
Mitsutomo Kohno
Mitsutomo Kohno
Keio University School of Medicine
Tai Hato
Tai Hato
Keio University
Japan
Ikuo Kamiyama
Ikuo Kamiyama
Keio University School of Medicine
Japan
Taichiro Goto
Taichiro Goto
National Hospital Organization Tokyo Medical Center
Japan
Takashi Ohtsuka
Takashi Ohtsuka
Saiseikai Central Hospital
Japan
Hirohisa Horinouchi
Hirohisa Horinouchi
Keio University
Japan

Kyobu Geka 2014 Jan;67(1):38-43

Department of General Thoracic Surgery, Keio University School of Medicine, Tokyo, Japan.

We have experienced 6 cases with resection and reconstruction of sternum. They were 1 with osteosarcoma, 1 with synovial sarcoma, 1 with sternal metastasis of fallopian tube cancer, 1 with sternal metastasis of thyroid cancer, 1 with desmoid tumor, and 1 with dermatofibrosarcoma protuberance. Resection of both manubrium and sternum was performed in 3 cases and sternum resection in 3. There was no total resection. We used a titanium reconstruction plate and titanium mesh in 3 cases, a titanium reconstruction plate and polypropylene mesh in 2, titanium mesh in 1 for reconstruction of bony defect, and rectus abdominis myocutaneous flap in 3, pectralis major muscle flap in 2, latissimus doris myocutaneous flap in 1 for reconstruction of soft tissue defect. Postoperative courses were uneventful, and flail chest was not observed. Reconstruction of the bony defect of the anterior chest wall with the titanium reconstruction plate and titanium mesh or polypropylene mesh was effective by providing sufficient rigidity as well as protection of the thoracic organs.
January 2014
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