Reconstruction with a patient-specific titanium implant after a wide anterior chest wall resection

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Turna A., Kavakli K., Sapmaz E., Arslan H., Caylak H., Gokce H. S., ...Daha Fazla

INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, cilt.18, sa.2, ss.234-236, 2014 (SCI-Expanded, Scopus) identifier identifier identifier

Özet

The reconstruction of full-thickness chest wall defects is a challenging problem for thoracic surgeons, particularly after a wide resection of the chest wall that includes the sternum. The location and the size of the defect play a major role when selecting the method of reconstruction, while acceptable cosmetic and functional results remain the primary goal. Improvements in preoperative imaging techniques and reconstruction materials have an important role when planning and performing a wide chest wall resection with a low morbidity rate. In this report, we describe the reconstruction of a wide anterior chest wall defect with a patient-specific custom-made titanium implant. An infected mammary tumour recurrence in a 62-year old female, located at the anterior chest wall including the sternum, was resected, followed by a large custom-made titanium implant. Latissimus dorsi flap and split-thickness graft were also used for covering the implant successfully. A titanium custom-made chest wall implant could be a viable alternative for patients who had large chest wall tumours.

The reconstruction of full-thickness chest wall defect is a challenging problem for thoracic surgeons especially after a wide resection of chest wall that includes sternum. The location and the size of the defect play the major role when selecting the method of reconstruction, while acceptable cosmetic and functional results remain the primary goal. Improvements in preoperative imaging techniques and reconstruction materials have an important role when planning and performing a wide chest wall resection with low morbidity rate. In this report, we described the reconstruction of a wide anterior chest wall defect with a patient-specific custom-made titanium implant. An infected mammary tumor recurrence in a 62 year-old female located at the anterior chest wall including sternum was resected followed by large custom-made titanium implant. Latissimus dorsi flap and split-thickness graft were also used for covering the implant successfully.  Titanium custom-made chest wall implant could be a viable alternative for the patients who had large chest wall tumors.