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Case Reports
. 2012 Sep;60(9):590-2.
doi: 10.1007/s11748-012-0048-9. Epub 2012 May 19.

Anterior chest wall reconstruction with titanium plate sandwiched between two polypropylene sheets

Keitaro Matsumoto  1 , Isao Sano, Akihiro Nakamura, Shigeyuki Morino, Naoya Yamasaki, Tomoshi Tsuchiya, Takuro Miyazaki, Takeshi Nagayasu
Affiliations
Case Reports

Anterior chest wall reconstruction with titanium plate sandwiched between two polypropylene sheets

Keitaro Matsumoto et al. Gen Thorac Cardiovasc Surg. 2012 Sep.

Abstract

Extensive sternal resection carries the risk of difficult reconstruction and surgical complications. A 79-year-old woman underwent sternal resection and reconstruction for sternal chondrosarcoma. However, 18 months after the first operation, she developed six metastatic tumors on the anterior chest wall. She underwent subtotal sternectomy and rib resection, leaving a defect measuring 17 × 14 cm. Reconstruction of the anterior chest wall using a titanium plate sandwiched between two polypropylene mesh sheets is described. This method is potentially applicable to extensive anterior chest resection, and its advantages compared with conventional prostheses are rigidity, flexibility, and usability.

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Figures

Fig. 1
Fig. 1
Surgical images. a Local recurrent tumors on the chest wall. The skin and subcutaneous segments were marked before surgery. b Chest wall defect after subtotal sternectomy and resection of the 1st–5th ribs and costal arch. c The middle layer consists of a titanium plate fixed to the manubrium and costal arch, pulled to each rib stump. The lowermost layer is a polypropylene mesh sheet. d The uppermost layer consists of a polypropylene mesh sheet fixed to the manubrium and each rib
Fig. 2
Fig. 2
Postoperative chest X-ray and computed tomography scans showing the titanium plates secured to the manubrium and ribs
See this image and copyright information in PMC

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