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Case Reports
. 2021 Jul 20:8:691945.
doi: 10.3389/fsurg.2021.691945. eCollection 2021.

Case Report: A New Tool for Anterior Chest Wall Reconstruction After Sternal Resection for Primary Or Secondary Tumors

Duilio Divisi  1 , Davide Tosi  2 , Gino Zaccagna  1 , Andrea De Vico  1 , Cristina Diotti  2 , Roberto Crisci  1
Affiliations
Case Reports

Case Report: A New Tool for Anterior Chest Wall Reconstruction After Sternal Resection for Primary Or Secondary Tumors

Duilio Divisi et al. Front Surg. .

Abstract

Sternal resection and anterior chest wall reconstruction techniques for malignant processes are not always standardized. We report an innovative method of sternal osteosynthesis in two patients, 65-year-old and 41-year-old women, with Ewing's sarcoma, and infiltrating thymoma, respectively. The first case manifested itself as a voluminous palpable mass while the second case was characterized for a paramediastinal mass widely extended to the anterior chest wall. Reconstruction with titanium mesh allowed the quick restoration of parietal stability, facilitating respiratory dynamic and recovery of patients.

Keywords: Ewing's sarcoma; sternal resection and reconstruction; sternectomy; thymoma; titanium mesh.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Shaped titanium mesh that entirely covers the anterior wall defect.
Figure 2
Figure 2
(A,B) Preoperative CT of the thorax showed a wide destruction of the upper 2/3 of the sternum by the neoplastic mass; (C,D) Chest X-ray at 40 days displayed the correct positioning of the titanium mesh, perfectly integrated into the wall.
Figure 3
Figure 3
Preoperative PET/CT displayed a right paramediastinal mass infiltrating the sternal body.
Figure 4
Figure 4
Titanium mesh resting on a titanium support plate.
See this image and copyright information in PMC

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