2,534 results match your criteria Chest Reconstruction Chest Wall Reconstruction


Autologous Breast Reconstruction With a Delay Procedure of the Deep Inferior Epigastric Artery Perforator Flap Because of Venous Congestion of the Flap on Pedicle: A Case Series.

Ann Plast Surg 2019 Jan 9. Epub 2019 Jan 9.

Department of Plastic, Reconstructive & Hand Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.

The deep inferior epigastric artery perforator (DIEP) flap is one of the most used free flaps for the reconstruction of the breast after a mastectomy. Despite careful selection of the patients and preoperative imaging, difficulties in vascularization of the flap can occur in some cases. Although multiple vascular connections (bipedicled, turbocharged, or stacked) can be made in selected cases, there can still be venous congestion before the flap is transferred. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001752DOI Listing
January 2019

Synchronous chondrosarcoma originating from two distant ribs.

J Pak Med Assoc 2019 Jan;69(1):120-122

Istanbul University, Istanbul, Turkey.

A chondrosarcoma is a rare bone tumour derived from cartilage-producing malignant mesenchymal cells. A 25- year-old male patient was operated upon to treat a chondrosarcoma arising in the left 2nd and 6th ribs. The tumour underwent en bloc wide resection in collaboration with a plastic surgeon for reconstruction of the resected area. Read More

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January 2019

Quantitative assessment and risk factors for chest wall deformity resulting from tissue expansion for breast reconstruction.

Breast Cancer 2019 Jan 2. Epub 2019 Jan 2.

Department of Oral and Maxillofacial Surgery, and Plastic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa-machi, Maebashi, Gunma, 371-8511, Japan.

Background: Chest wall deformity after tissue expansion for breast reconstruction is less recognized than complications such as infection, hematoma, skin necrosis and capsular contracture. However, the condition should not be discounted because pain, rib fracture and dyspnea may occur in severe cases. The aim of this study is to evaluate the extent of chest wall deformity quantitatively using computed tomography (CT) and to identify risk factors for this condition after tissue expansion. Read More

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http://dx.doi.org/10.1007/s12282-018-00942-3DOI Listing
January 2019

Breast Cerclage: An Innovative Expedient for Perimammary Dehiscence Healing.

J Am Coll Clin Wound Spec 2017 1;9(1-3):10-13. Epub 2018 Jun 1.

IRCCS Istituto Ortopedico Galeazzi - Università degli Studi di Milano, Plastic Surgery Department, Via Galeazzi 4, 20161 Milan, Italy.

The perimammary zone is a critical area for healing, due to high incidence of dehiscences, expecially sternal ones. Although deep sternal wound complications are nowadays less common after cardiac surgery, in some at risk patients, dehiscences still represent important complications of major cardiac or vascular surgeries and they are directly correlated to an increased risk of patient's morbidity and mortality. A heavy breast represents a source of tension on the perimammary wound, inhibiting or delaying a complete recovery. Read More

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http://dx.doi.org/10.1016/j.jccw.2018.05.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304288PMC

A National Snapshot of Patient Reported Outcomes Comparing Types of Abdominal Flaps for Breast Reconstruction.

Plast Reconstr Surg 2018 Dec 24. Epub 2018 Dec 24.

Department of Surgery, Duke University, Durham, NC.

Background: The purpose of this study was to identify differences in patient reported abdominal well-being, satisfaction, and quality of life in women with muscle-preserving free abdominal versus pedicle TRAM flap for breast reconstruction.

Background: The purpose of this study was to identify differences in patient reported abdominal well-being, satisfaction, and quality of life in women with muscle-preserving free abdominal versus pedicle TRAM flap for breast reconstruction.

Methods: Women with a history of breast cancer surgery were recruited from the Army of Women foundation to take the BREAST-Q© and a background questionnaire. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005301DOI Listing
December 2018

Simulation-Guided Tracheotomy in a Patient With Fibrodysplasia Ossificans Progressiva.

Laryngoscope 2018 Dec 23. Epub 2018 Dec 23.

Division of Otolaryngology-Head and Neck Surgery, Seattle Children's Hospital, Seattle, Washington, U.S.A.

Fibrodysplasia ossificans progressiva (FOP) is a rare disorder that causes heterotopic bone formation leading to chest wall and spinal deformities. This case describes an 11-year-old female with FOP who presented in respiratory failure necessitating two emergent fiberoptic nasotracheal intubations. The patient had severe trismus, rotary flexion of the neck, and distortion of the airway. Read More

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http://dx.doi.org/10.1002/lary.27520DOI Listing
December 2018
1 Read

R0 resection and reconstruction for a large, rapidly progressive chest wall sarcoma.

J Cardiothorac Surg 2018 Dec 17;13(1):127. Epub 2018 Dec 17.

Department of Cardiothoracic And Vascular Surgery, UT Health at McGovern Medical School, Houston, USA.

Background: Chest wall sarcomas are a rare group of soft tissue malignancies with variable presentations. Here we describe the definitive management of a large, rapidly progressing chest wall sarcoma arising from the pectoralis major muscle.

Case Report: An obese 42-year-old African American male with multiple medical comorbidities presented with new onset right-sided chest pain and a palpable right chest mass. Read More

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http://dx.doi.org/10.1186/s13019-018-0812-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6296059PMC
December 2018
1 Read

The Medial Pillar Island Flap for Oncoplastic Breast Reconstruction of Upper Pole Defects.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

Surgical Oncology, Department of Surgery, University of Massachusetts Medical School, Worcester, MA.

Background: Breast deformity is common following lumpectomy. Use of ptotic lower pole tissue for restoration of volume in the upper pole is quite appealing since it allows for a concomitant lift. This study presents the medial pillar island flap technique of oncoplastic breast reconstruction of upper pole defects. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001673DOI Listing
December 2018
6 Reads

Giant gastrointestinal stromal tumor of the mediastinum associated with an esophageal hiatal hernia and chest discomfort: a case report.

Surg Case Rep 2018 Dec 13;4(1):144. Epub 2018 Dec 13.

Department of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.

Background: Gastrointestinal stromal tumors (GISTs) grow relatively slowly and without specific symptoms; therefore, they are typically incidental findings. We report a rare gastric GIST in the mediastinum associated with chest discomfort and an esophageal hiatal hernia.

Case Presentation: An 81-year-old woman with chest discomfort was admitted to the hospital, where barium esophagography showed a sliding esophageal hiatal hernia and a tumor of the lower esophagus and gastric wall. Read More

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http://dx.doi.org/10.1186/s40792-018-0553-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292835PMC
December 2018
1 Read

Post-sternotomy deep wound infection following aortic surgery: wound care strategies to prevent prosthetic graft replacement.

Eur J Cardiothorac Surg 2018 Dec 12. Epub 2018 Dec 12.

Department of Cardiovascular Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.

Objectives: The aim of this study was to evaluate the early and long-term outcomes of our multidisciplinary strategy for treating deep sternal wound infection after aortic grafting, which consisted of debridement by a plastic surgeon, negative pressure wound therapy with continuous irrigation and chest wall reconstruction.

Methods: We performed a retrospective analysis of 18 patients who had a deep sternal wound infection following aortic grafting through a median sternotomy between January 2009 and December 2017. All patients had organisms cultured from mediastinal tissue within 2 months from the initial aortic surgery. Read More

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http://dx.doi.org/10.1093/ejcts/ezy389DOI Listing
December 2018
1 Read

Regional anesthesia to ameliorate postoperative analgesia outcomes in pediatric surgical patients: an updated systematic review of randomized controlled trials.

Local Reg Anesth 2018 15;11:91-109. Epub 2018 Nov 15.

Department of Anesthesiology, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA,

Regional anesthesia is becoming increasingly popular among anesthesiologists in the management of postoperative analgesia following pediatric surgery. The main objective of this review was to systematically evaluate the last 5 years of randomized controlled trials on the role of regional anesthesia techniques in alleviating postoperative pain associated with various pediatric surgical procedures. Forty studies on 2,408 pediatric patients were evaluated. Read More

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http://dx.doi.org/10.2147/LRA.S185554DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6244583PMC
November 2018
1 Read

Reconstruction of anterior chest wall: a clinical analysis.

J Cardiothorac Surg 2018 Dec 7;13(1):124. Epub 2018 Dec 7.

Department of thoracic surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China.

Objective: To investigate the methods and clinical efficacy of reconstruction of chest defects with titanium sternal fixation system after the surgical resection of sternal tumors.

Methods: A 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. Read More

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https://cardiothoracicsurgery.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13019-018-0810-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6286520PMC
December 2018
5 Reads
1.018 Impact Factor

National trends in contralateral prophylactic mastectomy in women with locally advanced breast cancer.

J Surg Oncol 2019 Jan 27;119(1):79-87. Epub 2018 Nov 27.

Department of Surgery, Plastic and Reconstructive Surgery Service, Memorial Sloan Kettering Cancer Center, New York, New York.

Background And Objectives: Women with unilateral early-stage breast cancer are increasingly choosing contralateral prophylactic mastectomy (CPM) despite the absence of survival benefits and increased risk of surgical complications. Data are lacking on whether this trend extends to women with clinically locally advanced nonmetastatic (cT4M0) cancer. This study aims to estimate national CPM trends in women with unilateral cT4M0 breast cancer. Read More

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http://doi.wiley.com/10.1002/jso.25315
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http://dx.doi.org/10.1002/jso.25315DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327316PMC
January 2019
10 Reads

Complex sternal and rib reconstruction with allogeneic material.

Arch Plast Surg 2018 Nov 15;45(6):593-597. Epub 2018 Nov 15.

Tulsa Plastic Surgery, Tulsa, OK, USA.

Sternal malunion, or loss, developed after a median sternotomy cannot only be difficult to manage and treat, but also may diminish one's quality-of-life drastically. The technique presented here represents a multispecialty approach in one stage for the reconstruction of an unstable thoracic cage. The procedure utilized a donated sternum and ribs. Read More

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http://dx.doi.org/10.5999/aps.2017.00122DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258986PMC
November 2018
13 Reads

High-Resolution Chest Computed Tomography Imaging of the Lungs: Impact of 1024 Matrix Reconstruction and Photon-Counting Detector Computed Tomography.

Invest Radiol 2018 Nov 19. Epub 2018 Nov 19.

Siemens Healthineers, Malvern, PA.

Objectives: The aim of this study was to evaluate if a high-resolution photon-counting detector computed tomography (PCD-CT) system with a 1024×1024 matrix reconstruction can improve the visualization of fine structures in the lungs compared with conventional high-resolution CT (HRCT).

Materials And Methods: Twenty-two adult patients referred for clinical chest HRCT (mean CTDI vol, 13.58 mGy) underwent additional dose-matched PCD-CT (mean volume CT dose index, 13. Read More

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http://dx.doi.org/10.1097/RLI.0000000000000524DOI Listing
November 2018
11 Reads

Galactocele After Aesthetic Breast Augmentation with Silicone Implants: An Uncommon Presentation.

Aesthetic Plast Surg 2018 Nov 19. Epub 2018 Nov 19.

Unit of Plastic Surgery, Sapienza University of Rome, Rome, Italy.

Background: Breast augmentation is one of the most frequently performed esthetic operations. Galactorrhea and galactocele formation are both very rare complications. The real cause still remains unknown, but various risk factors have been well reported in the literature. Read More

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http://link.springer.com/10.1007/s00266-018-1266-z
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http://dx.doi.org/10.1007/s00266-018-1266-zDOI Listing
November 2018
13 Reads

Arm Contouring in the Massive-Weight-Loss Patient.

Clin Plast Surg 2019 Jan 22;46(1):85-90. Epub 2018 Oct 22.

Division of Plastic and Reconstructive Surgery, University of Rochester Medical Center, 601 Elmwood Avenue, Box 661, Rochester, NY 14642, USA. Electronic address:

Brachioplasty is an increasingly popular procedure performed for improved arm contour in the massive-weight-loss population. There are challenging deformities presented in this population, such as redundant skin, posterior arm lipodystrophy, and loosening of fascial layers of the upper arm and chest wall that must be addressed to achieve successful contour of the arms. Common complications can be minimized with meticulous technique and knowledge of surgical anatomy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00941298183006
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http://dx.doi.org/10.1016/j.cps.2018.08.011DOI Listing
January 2019
10 Reads

MRI diagnosis and follow-up of chest wall and breast desmoid tumours in patients with a history of oncologic breast surgery and silicone implants: A pictorial report.

J Med Imaging Radiat Oncol 2018 Nov 16. Epub 2018 Nov 16.

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Introduction: Breast and chest wall desmoid tumours can cause debilitating symptoms and deformity. The mutilating effects of surgical treatment have prompted a shift to medical treatments and even to a wait-and-see approach. This study sought to highlight specific characteristics of breast and chest wall desmoid tumours on long-term follow-up by sequential MRI scans. Read More

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http://doi.wiley.com/10.1111/1754-9485.12829
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http://dx.doi.org/10.1111/1754-9485.12829DOI Listing
November 2018
7 Reads

Distribution of internal thoracic artery perforators: A clincal anatomy study.

Clin Anat 2018 Nov 13. Epub 2018 Nov 13.

Department of Plastic and Reconstructive Surgery, Bundang CHA Medical Center, School of Medicine, CHA University, Seongnam, South Korea.

There are various modifications of the transverse rectus abdominis musculocutaneous flap and deep inferior epigastric perforator flap to reduce the morbidity of the donor site or to augment the vascularity of the flap. For microanastomosis of multiple pedicles, multiple recipient vessels or an intervening vein graft should be provided. In addition, alternative perforator-based flaps used in breast reconstruction have small caliber pedicles. Read More

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http://doi.wiley.com/10.1002/ca.23312
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http://dx.doi.org/10.1002/ca.23312DOI Listing
November 2018
8 Reads

Full thickness chest wall defection and lung injury by electrical burn: A 5-years-old child reconstruction case.

Asian J Surg 2018 Nov 9. Epub 2018 Nov 9.

Burn and Plastic Surgery Department, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China. Electronic address:

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http://dx.doi.org/10.1016/j.asjsur.2018.10.007DOI Listing
November 2018

An unusual case of hypercapnic respiratory failure.

Respir Med Case Rep 2018 23;25:327-329. Epub 2018 Oct 23.

University of Florida College of Medicine, Pulmonary & Critical Care, USA.

Asphyxiating thoracic dystrophy (ATD also known as Jeune syndrome) is a very rare disorder with an incidence in the United States of 1 case per 100,000-130,000 live births. Chronic alveolar hypoventilation leading to concurrent hypoxia is the main cause of morbidity and mortality in these patients due to its complications. A 22-year-old male with past medical history of ATD and severe kyphoscoliosis presented with progressively worsening shortness of breath for several days. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22130071183020
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http://dx.doi.org/10.1016/j.rmcr.2018.10.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214860PMC
October 2018
10 Reads

Three-dimensional printing PEEK implant: a novel choice for the reconstruction of chest wall defect.

Ann Thorac Surg 2018 Nov 4. Epub 2018 Nov 4.

State Key Laboratory for Manufacturing Systems Engineering, Xi'an Jiaotong University, Xi'an 710049, China.

Background: The purpose of this study is to use three-dimensional printing (3DP) polyether-ether-ketone (PEEK) implants for skeletal reconstructions after wide excision of chest wall. 3DP PEEK implants were expected to provide a better physiological simulation than traditional ones due to a closer elastic modulus to cortical bone and similar biomechanical properties.

Methods: 18 patients (mean age, 44. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00034975183156
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http://dx.doi.org/10.1016/j.athoracsur.2018.09.044DOI Listing
November 2018
12 Reads

Reconstruction of Chest Wall Defects Using a Technique Involving Mesh, Titanium Plates, and a Pedunculated Muscle Flap.

Korean J Thorac Cardiovasc Surg 2018 Oct 5;51(5):308-311. Epub 2018 Oct 5.

Department of Thoracic Surgery, Elisabeth-Tweesteden Hospital.

We herein present a new surgical reconstruction technique for large chest wall defects after resection of advanced chest wall tumors. Read More

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http://dx.doi.org/10.5090/kjtcs.2018.51.5.308DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200169PMC
October 2018

Impact of Model-Based Iterative Reconstruction on the Correlation between Computed Tomography Quantification of a Low Lung Attenuation Area and Airway Measurements and Pulmonary Function Test Results in Normal Subjects.

Korean J Radiol 2018 Nov-Dec;19(6):1187-1195. Epub 2018 Oct 18.

Department of Radiology, Korea University College of Medicine, Korea University Ansan Hospital, Ansan 15355, Korea.

Objective: To compare correlations between pulmonary function test (PFT) results and different reconstruction algorithms and to suggest the optimal reconstruction protocol for computed tomography (CT) quantification of low lung attenuation areas and airways in healthy individuals.

Materials And Methods: A total of 259 subjects with normal PFT and chest CT results were included. CT scans were reconstructed using filtered back projection, hybrid-iterative reconstruction, and model-based IR (MIR). Read More

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https://synapse.koreamed.org/DOIx.php?id=10.3348/kjr.2018.19
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http://dx.doi.org/10.3348/kjr.2018.19.6.1187DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6201968PMC
October 2018
9 Reads

Mesenchymal hamartoma of the chest wall in a 10-year-old girl mimicking malignancy: a case report.

Skeletal Radiol 2018 Oct 29. Epub 2018 Oct 29.

Department of Pediatric Surgery, Kyoto Prefectural University of Medicine, 465 Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan.

We herein report a rare case of mesenchymal hamartoma of the chest wall in a 10-year-old girl. She complained of chest pain and was diagnosed with a large chest wall tumor originating from the left fourth rib. Malignancy such as osteosarcoma or chondrosarcoma could not be ruled out with imaging studies. Read More

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http://link.springer.com/10.1007/s00256-018-3106-2
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http://dx.doi.org/10.1007/s00256-018-3106-2DOI Listing
October 2018
3 Reads

Poland syndrome accompanied by internal iliac artery supply disruption sequence: a case report.

J Med Case Rep 2018 Oct 26;12(1):312. Epub 2018 Oct 26.

Department of Gastrointestinal Tract Surgery, Fukushima Medical University, 1 Hikarigaoka, Fukushima City, Fukushima, 960-1295, Japan.

Background: Poland syndrome is a congenital malformation characterized by ipsilateral hand and chest wall depression, including an absence or hypoplasia of the breast and pectoral muscles. These hypoplastic defects are reportedly caused by a subclavian artery supply disruption sequence.

Case Presentation: A 45-year-old Japanese woman, an out-patient, underwent an emergency examination for intense left lower abdominal pain. Read More

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https://jmedicalcasereports.biomedcentral.com/articles/10.11
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http://dx.doi.org/10.1186/s13256-018-1823-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203193PMC
October 2018
3 Reads

Cutaneous Breast Radiation-associated Angiosarcoma: Anterior Chest Wall Reconstruction Options Following Extra-radical Resection.

Plast Reconstr Surg Glob Open 2018 Sep 5;6(9):e1938. Epub 2018 Sep 5.

Division of Plastic Surgery, Brigham and Women's Hospital and Dana Farber Cancer Institute, Boston, Mass.

Background: Radiation-associated angiosarcoma (RAAS) of the breast is a rare complication following breast irradiation with high rates of recurrence and death. To improve survival, we have advocated for an extra-radical resection where the entire irradiated skin and subcutaneous tissue is excised. This results in very large chest defects for which we describe our reconstructive experience. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001938DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191213PMC
September 2018
2 Reads

Manubrium resection and reconstruction for mediastinal tumor: a case report.

Rev Port Cir Cardiotorac Vasc 2018 Jan-Jun;25(1-2):87-89

Cardiothoracic Surgery Department, Hospital Beatriz Ângelo, Loures, Portugal.

Primary mediastinal tumours with chest wall involvement represent technical challenges that may offer a survival benefit. Reconstruction with osteossynthesis material, bioprosthesis and muscle flaps is indicated to re-establish the excised component function. We report a case of a 30-year-old male with a primary mediastinal seminoma operated after chemotherapy with need for en bloc resection of the residual mass and manubrium with chest wall reconstruction. Read More

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June 2018
2 Reads

Adjacent skin rotation flap for large defect in primary breast tumor.

J Surg Oncol 2018 Dec 7;118(7):1199-1204. Epub 2018 Oct 7.

Department of Breast Surgery, Hubei Cancer Hospital, Wuhan, China.

Backgrounds: Surgical resection of large primary breast tumor often results in large chest wall defects. The purpose of this study is to evaluate the feasibility of using adjacent skin rotation (ASR) flap in patients with giant primary breast tumor.

Methods: A total of 26 giant primary breast tumor patients treated with ASR flap were included in this study. Read More

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http://doi.wiley.com/10.1002/jso.25240
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http://dx.doi.org/10.1002/jso.25240DOI Listing
December 2018
11 Reads

Assessing Quality of Life and Patient-Reported Satisfaction with Masculinizing Top Surgery: A Mixed-Methods Descriptive Survey Study.

Plast Reconstr Surg 2019 Jan;143(1):272-279

New York, N.Y.; and Canton, Ohio From the Hansjörg Wyss Department of Plastic Surgery, New York Langone Health; and Biostats, Inc.

Background: Masculinizing top surgery (bilateral mastectomy with chest wall reconstruction) is an important gender-affirming procedure sought by many transmasculine and nonbinary individuals. Current literature is focused primarily on details of surgical technique and complication rates, with limited data available on how top surgery affects subjective quality-of-life measures.

Methods: An anonymous online survey was distributed to 81 of the senior author's former top-surgery patients. Read More

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http://Insights.ovid.com/crossref?an=00006534-900000000-9780
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http://dx.doi.org/10.1097/PRS.0000000000005113DOI Listing
January 2019
3 Reads

A new technique in complex chest wall reconstruction: Open reduction and internal fixation.

J Pediatr Surg 2018 Dec 10;53(12):2488-2490. Epub 2018 Sep 10.

Department of Surgery, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA. Electronic address:

Background: Reconstruction of complex chest wall deformities is a surgical challenge. A new technique can improve long-term outcomes and result in high patient satisfaction.

Methods: A multicenter study was conducted on pediatric patients undergoing complex chest wall reconstruction between September 2015 and January 2018. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.08.015DOI Listing
December 2018

Hump-like giant desmoid tumor of the chest: a postresectional reconstruction challenge.

AME Case Rep 2017 17;1. Epub 2017 Nov 17.

Department of Thoracic Surgery, Policlinico Tor Vergata University, Rome, Italy.

Desmoid tumors (DT) are rare neoplasms with unknown etiology arising from musculoaponeurotic structures. Chest wall localization is uncommon and has been associated with high recurrence rate unless radical resection with negative margins is carried out. Postresectional reconstruction can be challenging in presence of giant lesions and might require adoption of complex reconstruction methods including use of well vascularized muscle flaps. Read More

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http://acr.amegroups.com/article/view/4160/4892
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http://dx.doi.org/10.21037/acr.2017.11.01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6155693PMC
November 2017
9 Reads

Novel Chest Wall Reconstruction Following Excision of an Xiphisternal Chondrosarcoma.

Ochsner J 2018 ;18(2):180-182

The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.

Background: Chondrosarcoma, the most common primary malignant tumor of the chest wall, most frequently arises from the sternum, with limited reported cases of tumor origination from the xiphoid process. Because of the location, patients present with complaints of a large chest wall mass associated with pain and respiratory symptoms. These tumors are best managed by en bloc resection and chest wall reconstruction. Read More

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http://dx.doi.org/10.31486/toj.17.0066DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6135278PMC
January 2018

Reduction in low-dose to normal tissue with the addition of deep inspiration breath hold (DIBH) to volumetric modulated arc therapy (VMAT) in breast cancer patients with implant reconstruction receiving regional nodal irradiation.

Radiat Oncol 2018 Sep 24;13(1):187. Epub 2018 Sep 24.

Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Background: Despite dosimetric benefits of volumetric modulated arc therapy (VMAT) in breast cancer patients with implant reconstruction receiving regional nodal irradiation (RNI), low dose to the thoracic structures remains a concern. Our goal was to report dosimetric effects of adding deep inspiration breath hold (DIBH) to VMAT in left-sided breast cancer patients with tissue expander (TE)/permanent implant (PI) reconstruction receiving RNI.

Methods: Ten consecutive breast cancer patients with unilateral or bilateral TE/PI reconstruction who were treated with a combination of VMAT and DIBH to the left reconstructed chest wall and regional nodes were prospectively identified. Read More

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http://dx.doi.org/10.1186/s13014-018-1132-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6154906PMC
September 2018
2 Reads

[Breast reconstruction with Muscle-Sparing Latissimus Dorsi flap combined to a Thoraco-Abdominal advancement flap and fat grafting].

Ann Chir Plast Esthet 2018 Nov 7;63(5-6):437-446. Epub 2018 Sep 7.

Service de chirurgie plastique, reconstructrice et esthétique, université Claude-Bernard Lyon 1, centre hospitalier universitaire de la Croix-Rousse, hospices civils de Lyon, 103, grande rue de la Croix-Rousse, 69004 Lyon, France.

The Latissimus Dorsi flap (or LD flap) was first described by the Tansini in 1896 and published in 1906. It concerned a case of chest wall reconstruction after breast amputation. The use of the LD flap in all its variants is very frequent in breast reconstruction. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02941260183014
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http://dx.doi.org/10.1016/j.anplas.2018.07.013DOI Listing
November 2018
11 Reads

Diagnostic value of fluorine-18 deoxyglucose positron emission tomography/computed tomography in deep sternal wound infection.

J Plast Reconstr Aesthet Surg 2018 Dec 2;71(12):1768-1776. Epub 2018 Aug 2.

Department of Plastic and Reconstructive Surgery, Zhong-shan Hospital, 180 Fenglin Road, Xuhui District, Shanghai, China. Electronic address:

Objectives: Deep sternal wound infection (DSWI) is a refractory complication after heart surgery, and debridement is the first-line treatment. The accurate identification of the extent of the infection is the key to successful debridement. The present study assessed the diagnostic accuracy of fluorine-18 deoxyglucose (F-FDG) positron emission tomography/computed tomography (PET/CT) for identifying the infected area of DSWI. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.07.017DOI Listing
December 2018
13 Reads

Sternal resection and reconstruction for secondary malignancies.

J Thorac Dis 2018 Jul;10(7):4230-4235

Department of Thoracic Surgery, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.

Background: Limited data on sternal and/or anterior chest wall resections for secondary malignancies exist. The purpose of this study was to examine the perioperative outcomes and postoperative overall survival (OS) in patients who underwent sternal and/or anterior chest wall resections for secondary sternal tumors (SSTs).

Methods: A retrospective analysis of all patients who underwent resection of SSTs at single institution between 2000 and 2016 has been performed. Read More

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http://dx.doi.org/10.21037/jtd.2018.06.18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6106003PMC

Single Bilateral Undivided TRAM Flap for a Bilateral Breasts Reconstruction Including Intermammary Presternal Skin Defect Coverage.

J Coll Physicians Surg Pak 2018 Sep;28(9):S207-S209

Department of Plastic Surgery, Jinnah Burn and Reconstructive Surgery Center, Lahore.

We present a case report of 30-year female presenting with a large skin and soft tissue defect of anterior chest wall, after bilateral mastectomy. Unlike other patients, she also had sternum defect after resection of skin of sternum. She had a 34x17 cm defect of anterior chest when she presented to us. Read More

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http://dx.doi.org/10.29271/jcpsp.2018.09.S207DOI Listing
September 2018
4 Reads

Extended chest wall based flap and lipofilling for immediate breast reconstruction for obese patients.

J Plast Reconstr Aesthet Surg 2018 Nov 9;71(11):1664-1678. Epub 2018 Aug 9.

Department of Plastic and Reconstrucive Surgery, Federal University of Parana, Clinics Hospital, 181 General Carneiro Street, Curitiba, Paraná 80060900, Brazil.

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http://dx.doi.org/10.1016/j.bjps.2018.07.027DOI Listing
November 2018
2 Reads

[Discussion on hot topics of skeletal sternal reconstruction].

Authors:
H F Wang G N Jiang

Zhonghua Wai Ke Za Zhi 2018 Sep;56(9):661-664

Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China.

Sternum is an important constituent of the thoracic cage, and a pivotal part of the anterior chest wall. When a considerable portion of the sternum needs to be resected, in order to protect the vital organs beneath, restore the anatomical structure and physiological function, reconstruction is unavoidable. Sternal reconstruction consists of two related parts: skeletal and soft tissue reconstruction. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2018.09.005DOI Listing
September 2018
12 Reads

Multidisciplinary Approaches to Chest Wall Recurrences of Breast Cancer.

Oncology (Williston Park) 2018 08;32(8):392-6, 417

The management of postmastectomy chest wall recurrences of breast cancer has long challenged clinicians. A tissue diagnosis combined with proper imaging and staging of patients to ensure the disease is localized are the first steps in management. Multimodal therapy offers patients the best chances of cure. Read More

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August 2018
1 Read

Refractory bleeding from a giant de-differentiated liposarcoma of the chest wall: An indication for neoadjuvant chemotherapy and palliative resection? - A case report.

Int J Surg Case Rep 2018 9;50:135-139. Epub 2018 Aug 9.

Department of Radiology, Bayero University, Kano/Aminu Kano Teaching Hospital, Kano, Nigeria. Electronic address:

Introduction: Dedifferentiated liposarcoma (DDLPS) is a heterogenous neoplasm of variable histological grade. DDLPS uncommonly arises from the chest wall. There are limited data available about the tumor's response to chemotherapy and accessible reports indicate minimal benefits. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.07.038DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6098239PMC
August 2018
2 Reads

A new percutaneous method for inframammary fold reconstruction in implant-based breast reconstruction: Vertical pendulum suture.

Medicine (Baltimore) 2018 Aug;97(33):e11964

Department of Plastic Surgery, Ina Central Hospital, Ina.

Several operative techniques for inframammary fold (IMF) reconstruction have been described and have resolved the shortcomings of conventional methods. However, there are still difficulties with IMF reconstruction, that is, performance through small mastectomy scars, creation of a smooth IMF curve, transfer of external IMF markings to the interior chest wall, or determining correct IMF without an implant in place. We have used a type of anchor suture with a completely percutaneous approach, the vertical pendulum suture (VP suture), to reconstruct the IMF easily in implant-based breast reconstruction. Read More

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http://dx.doi.org/10.1097/MD.0000000000011964DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112950PMC
August 2018
2 Reads

Deformities of the Thoracic Wall: Don't Forget the Plastic Surgeon.

Eur J Pediatr Surg 2018 Aug 15;28(4):361-368. Epub 2018 Aug 15.

Department of Plastic, Reconstructive and Aesthetic Surgery, Innsbruck Medical University, Innsbruck, Austria.

Surgical procedures for pectus excavatum (PE) repair, such as minimally invasive repair of pectus excavatum or similar interventions (modified open videoendoscopically assisted repair of pectus excavatum), for remodeling the anterior thoracic wall may finally not always achieve sufficiently pleasing aesthetic results. Particularly in the asymmetric and polymorphic cases, remnant deformities may still be present after any sophisticated remodeling attempt. On the other hand, some cases despite optimal surgical management develop mild recurrences with partial concavity or rib cartilage distortion shortly after pectus-bar removal. Read More

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http://dx.doi.org/10.1055/s-0038-1668129DOI Listing
August 2018
1 Read

Recurrent sternal thymoma after thymectomy by video-assisted thoracic surgery.

Asian Cardiovasc Thorac Ann 2018 Sep 13;26(7):574-576. Epub 2018 Aug 13.

2 Department of Division of Diagnostic Pathology, Okaya Municipal Hospital, Okaya, Nagano, Japan.

An 81-year-old man underwent thymectomy by video-assisted thoracic surgery for a mediastinal tumor. The pathological diagnosis was Masaoka stage II type B3 thymoma. Thirty-six months later, he presented with a growing mass on his anterior chest wall. Read More

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http://dx.doi.org/10.1177/0218492318795543DOI Listing
September 2018
10 Reads

Surgical reconstruction of traumatic flail chest with titanium plaques.

Int J Surg Case Rep 2018 1;50:72-74. Epub 2018 Aug 1.

Anesthesiology Unit, Antalya Gazipaşa State Hospital, Cumhuriyet District, Hastane Street, 07900, Gazipaşa, Antalya, Turkey.

Introduction: Multiple rib fractures exposes serious respiratory disorders and they are generally treated with non surgical methods. Nevertheless, in cases of long term pain despite medical treatment, parenchymal injury, hematoma, posture disorder and flail chest, surgery is needed. Flail chest, as the most critical form of blunt chest trauma, can disturb the hemodynamic of patient significantly and threaten life. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.07.033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6083373PMC
August 2018
17 Reads

Chest wall reconstruction after tumor resection.

Semin Pediatr Surg 2018 Jun 27;27(3):200-206. Epub 2018 May 27.

Pediatric Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street 17.6053, External Mail: Unit 1484, Houston, TX 77030, United States of America. Electronic address:

Pediatric chest wall tumors are rare. Malignancies predominate of which sarcomas are the most common. Their resection and the subsequent reconstruction of the chest wall has been a surgical challenge since Dr. Read More

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http://dx.doi.org/10.1053/j.sempedsurg.2018.05.008DOI Listing
June 2018
1 Read

[Safety and feasibility of radical surgery for giant desmoid in abdominal wall].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Jul;21(7):755-760

Department of General Surgery, People's Liberation Army General Hospital, Beijing 100048, China.

Objective: To evaluate the safety and feasibility of radical surgery for giant desmoid in abdominal wall accompanied with the repair of giant myofascial defect using synthetic prosthesis.

Methods: We analyzed the clinical and follow-up data of 31 patients with giant desmoid in abdominal wall undergoing radical resection and immediate abdominal wall reconstruction with synthetic prosthesis from January 2007 to January 2017 retrospectively. Patients were recruited at the Diagnostic and Therapeutic Center of Hernia and Abdominal Wall Diseases, the First Affiliated Hospital of Chinese PLA General Hospital and the Department of General Surgery, Chinese PLA General Hospital. Read More

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July 2018
20 Reads

Intrathoracic scapular dislocation following lung cancer resection.

J Surg Case Rep 2018 Jul 21;2018(7):rjy178. Epub 2018 Jul 21.

Department of Cardiovascular Surgery, Faculty of Medicine, University of Miyazaki, Kihara 5200, Kiyotake, Miyazaki, Japan.

A 64-year-old man underwent right upper lobectomy combined resection with third-fifth rib for lung cancer and reconstruction of chest wall using Dual Mesh. Six days after surgery, he experienced acute severe pain in the right shoulder. The purulent drainage through the drainage tube was also found. Read More

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http://dx.doi.org/10.1093/jscr/rjy178DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055544PMC

[Injuries of the posterior and lateral chest wall-importance of an additional clavicular fracture].

Unfallchirurg 2018 Aug;121(8):615-623

Unfallchirurgische Abteilung, Universitätsklinikum Erlangen, Krankenhausstr. 12, 91054, Erlangen, Deutschland.

Background: Flail chest wall injuries (FCI) are common in younger patients due to high-speed trauma and in older patients due to low-energy trauma or falls from a low height. They show a high incidence of concomitant injuries and are therefore associated with high morbidity and mortality. If there is also an ipsilateral clavicular fracture (CF), the outcome is significantly poorer. Read More

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http://link.springer.com/10.1007/s00113-018-0528-1
Publisher Site
http://dx.doi.org/10.1007/s00113-018-0528-1DOI Listing
August 2018
6 Reads