Titanium Rib Plate Technique for Huge Chest Wall Reconstruction
Yong Han Yoon
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DOI: 10.4236/ss.2011.26070   PDF    HTML     7,890 Downloads   12,749 Views   Citations

Abstract

Chest wall reconstruction after en-bloc tumor resection is very important to preserve functional mobility and to enhance the cosmetic effect. Because they are flexible and pliable, titanium plates are proposed to reconstruct the chest wall, even though such chest wall reconstruction has been performed in only a few cases worldwide. We present a case of a 49-year-old man with a chondrosarcoma arising from the left 1st rib, invading the manubrium, clavicle, 2nd and 3rd ribs, and the anterior segment of the left upper lobe. After wide resection, the chest wall was reconstructed using titanium rib plates and Marlex mesh- the Bovine pericardium sandwich type. The patient tolerated the pain well, and fourteen months after surgery, the chest wall was well preserved function mobility and improved pulmonary function test.

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Y. Yoon, "Titanium Rib Plate Technique for Huge Chest Wall Reconstruction," Surgical Science, Vol. 2 No. 6, 2011, pp. 331-334. doi: 10.4236/ss.2011.26070.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] A. Gonfiotti, P. F. Santini, D. Campanacci, et al., “Malignant Primary Chest-Wall Tumors: Techniques of Reconstruction and Survival,” European Journal of Cardio- Thoracic Surgery, Vol. 38, No. 1, 2010, pp. 39-45. doi:10.1016/j.ejcts.2009.12.046
[2] B. R. LeRoux and D. M. Shama, “Resection of Tumors of the Chest Wall,” Current Problems in Surgery, Vol. 20, No. 6, 1983, pp. 345-386. doi:10.1016/S0011-3840(83)80007-0
[3] H. Horio, T. Ohtshka, Y. Kubota, T. Hasegwa, H. Nomori, T. Naruke and K. Suemasu, “Large Chest Wall Resconstruction Using Titanium Micromesh and Pedicled Lastissimus Dorsi Muscularcutaneous Flap: Report of a Case,” Surgery Today, Vol. 35, No. 1, 2005, pp. 73-75. doi:10.1007/s00595-004-2868-4
[4] N.C. Dang, S. Siegel and J. D. Philips, “Malignant Chest Wall Tumors in Children and Young Adults,” Journal of Pediatric Surgery, Vol. 34, No. 12, 1999, pp. 1773-1778. doi:10.1016/S0022-3468(99)90310-X
[5] Mansour K. A., Thourani V. H., Losken A., Reeves J. G., Miller J. I. and Jones G. E., Chest wall resection and reconstruction: a 25-year experience. The Annals of Thoracic Surgery, Vol. 73, No. 6, 2002, pp. 1720-1725. doi:10.1016/S0003-4975(02)03527-0
[6] P. G. Arnold and P. C. Pairolero, “Chest-Wall Reconstruction: An Account of 500 Consecutive Patients,” Plastic and Reconstructive Surgery, Vol. 98, No. 5, 1996, pp. 804-810. doi:10.1097/00006534-199610000-00008
[7] A. Bille, M. Gisabella, L. Errico and P. Borasio, “A Suitable System of Reconstruction with Titanium Rib Prosthesis after Chest Wall Resection for Ewing Sarcoma,” Interactive CardioVascular and Thoracic Surgery, Vol. 12, No. 2, 2011, pp. 293-296. doi:10.1510/icvts.2010.245902
[8] A. S. Coonar, N. Qureshi, I. Smith, F. C. Wells and E. Reisberg and J.-M. Wihlm, “A Novel Titanium Rib Bridge System for Chest Wall Reconstruction,” The Annals of Thoracic Surgery, Vol. 87, No. 5, 2009, pp. e46-e48. doi:10.1016/j.athoracsur.2009.01.069
[9] H. Nomori, H. Horio and T. Hasegawa, “Chest Wall Reconstruction Using Titanium Hollow Screw Reconstruction Plate,” The Journal of Thoracic and Cardiovascular Surgery, Vol. 45, No. 1, 1997, pp. 35-37. doi:10.1055/s-2007-1013681
[10] A. S. Coonar, J. M. Wihlm, F. C. Wells and N. Qureshi, “Intermediate Outcome and Dynamic Computerized Tomography after Chest Wall Reconstruction with the STRTOS Titanium Rib Bridge System: Videodemonstration of Preserved Bucket-Handle Rib Motion,” Interactive CardioVascular and Thoracic Surgery, Vol. 12, 2011, pp. 80-81. doi:10.1510/icvts.2010.249615
[11] T. Iarussi, A. Pardolesi, P. Camplese and R. Sacco, “Composite Chest Wall Reconstruction Using Titanium Plates and Mesh Preserves Chest Wall Function,” The Journal of Thoracic and Cardiovascular Surgery, Vol. 140, No. 2, 2010, pp. 476-7. doi:10.1016/j.jtcvs.2009.07.030

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