Thorac Cardiovasc Surg 2011; 59(1): 58-60
DOI: 10.1055/s-0030-1250393
Case Reports/Thoracic

© Georg Thieme Verlag KG Stuttgart · New York

Chest Wall Reconstruction in a Patient with Sternal Fibrous Dysplasia

J. Tang1 , J.-J. Wang1 , W. Zhai1 , S.-C. Zhang1
  • 1Department of Thoracic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P. R. China
Further Information

Publication History

received July 21, 2010

Publication Date:
17 January 2011 (online)

Abstract

A patient with sternal fibrous dysplasia was treated via subtotal sternectomy using a sandwich titanium micromesh and polypropylene mesh to repair the chest wall defect. Pectoralis muscle flaps were created to cover the prosthesis. The patient had a normal postoperative course with good stability and postoperative cosmesis.

References

  • 1 Chapurlat R D, Orcel P. Fibrous dysplasia of bone and McCune-Albright syndrome.  Best Pract Res Clin Rheumatol. 2008;  22 55-69
  • 2 O'Connor B, Collins F J. The management of chest wall resection in a patient with polyostotic fibrous dysplasia and respiratory failure.  J Cardiothorac Vasc Anesth. 2009;  23 518-521
  • 3 Hamad A M, Marulli G, Bulf R et al. Titanium plates support for chest wall reconstruction with Gore-Tex dual mesh after sternochondral resection.  Eur J Cardiothorac Surg. 2009;  36 779-780
  • 4 Haraguchi S, Hioki M, Hisayoshi T et al. Resection of sternal metastasis from endometrial carcinoma followed by reconstruction with sandwiched Marlex and stainless steel mesh: report of a case.  Surg Today. 2006;  36 184-186
  • 5 Cohen Jr M M, Howell R E. Etiology of fibrous dysplasia and McCune-Albright syndrome.  Int J Oral Maxillofac Surg. 1999;  28 366-371
  • 6 Narayan R L, Maldjian P D. Restrictive lung disease and cor pulmonale secondary to polyostotic fibrous dysplasia.  Int J Cardiol. 2009;  131 48-50
  • 7 Haraguchi S, Hioki M, Hisayoshi T et al. Resection of sternal tumors and reconstruction of the thorax: review of 15 patients.  Surg Today. 2006;  36 225-229
  • 8 Kodama K, Higashiyama M, Higaki N et al. Pros and cons of chest wall reconstruction using prosthetic meshes in a two-layer fashion.  Thorac Cardiovasc Surg. 2002;  50 361-363
  • 9 Lampl L. Chest wall resection: a new and simple method for stabilization of extended defects.  Eur J Cardiothorac Surg. 2001;  20 669-673
  • 10 Rathinam S, Venkateswaran R, Rajesh P B et al. Reconstruction of the chest wall and the diaphragm using the inverted Y Marlex methyl methacrylate sandwich flap.  Eur J Cardiothorac Surg. 2004;  26 197-201
  • 11 Rocco G, Fazioli F, La Manna C et al. Omental flap and titanium plates provide structural stability and protection of the mediastinum after extensive sternocostal resection.  Ann Thorac Surg. 2010;  90 14-16
  • 12 Hameed A, Akhtar S, Naqvi A et al. Reconstruction of complex chest wall defect by using polypropylene mesh and a pedicled latissimus dorsi flap: a 6-year experience.  J Plast Reconstr Aesthet Surg. 2008;  61 628-635
  • 13 Galbis Caravajal J M, Yeste Sánchez L, Fuster Diana C A et al. Sternal resection and reconstruction after malignant tumours.  Clin Transl Oncol. 2009;  11 91-95
  • 14 Lee T Y, Estrera A L, Safi H J et al. Total sternal reconstruction using a titanium plate-supported methyl methacrylate sandwich.  Ann Thorac Surg. 2007;  84 664-666
  • 15 Watanabe A, Watanabe T, Obama T et al. New material for reconstruction of the anterior chest wall, including the sternum.  J Thorac Cardiovasc Surg. 2003;  126 1212-1214

Jian-Jun Wang, MD

Department of Thoracic Surgery
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Liberation Road, 1277#, Hankou

Wuhan 430022

P. R. China

Phone: +86 0 27 85 35 16 52

Email: romewangjianjun@hotmail.com

    >