Complete Sternal Cleft Repair

Ankita Harijee; Sundeep Vijayaraghavan; Arjun Reddy Marathi; Brijesh Parayaru Kottayil; Mahesh Kappanayil; Praveen Reddy Bayya; Jessin P Jayashankar

doi:10.1055/s-0040-1721547

Indian Journal of Plastic Surgery, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Indian J Plast Surg 2020; 53(03): 419-422
DOI: 10.1055/s-0040-1721547

Case Report

Complete Sternal Cleft Repair

Autor*innen

Ankita Harijee

¹Department of Plastic & Reconstructive Surgery, Amrita Institute of Medical Sciences & Research Centre, Kochi, India
Sundeep Vijayaraghavan

¹Department of Plastic & Reconstructive Surgery, Amrita Institute of Medical Sciences & Research Centre, Kochi, India
Arjun Reddy Marathi

¹Department of Plastic & Reconstructive Surgery, Amrita Institute of Medical Sciences & Research Centre, Kochi, India
Brijesh Parayaru Kottayil

²Department of Cardiovascular & Thoracic Surgery, Amrita Institute of Medical Sciences & Research Centre, Kochi, India
Mahesh Kappanayil

³Department of Paediatric Cardiology, AIMS 3D Printing & Innovation Laboratory, Amrita Institute of Medical Sciences & Research Centre, Kochi, India
Praveen Reddy Bayya

²Department of Cardiovascular & Thoracic Surgery, Amrita Institute of Medical Sciences & Research Centre, Kochi, India
Jessin P Jayashankar

⁴Department of Anesthesiology, Amrita Institute of Medical Sciences & Research Centre, Kochi, India

Abstract

Sternal cleft (SC) is a rare congenital malformation which can be partial or complete.

We report a case of complete SC in a 9-month-old child. Our technique involves a combination of reinforcement with the deep cervical fascial extension, followed by the anterior perichondrial flaps, bridged with the rib graft, incorporating surplus resected cartilaginous xiphoid process, and covered with the bilateral pectoralis major muscle flap for the chest wall reconstruction with 3D printing assisting preoperative planning. The size of the defect in relation to the age of presentation was a deciding factor in the adoption of this alternative surgical technique.

Keywords

3D printing - chest wall reconstruction - sternal cleft

Volltext

Referenzen

References
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