title: Anterior chest wall reconstruction with titanium plate sandwiched between two polypropylene sheets.
abstract: Extensive sternal resection carries the risk of difficult reconstruction and surgical complications. A 79-year-old woman underwent sternal resection and reconstruction for sternal chondrosarcoma. However, 18 months after the first operation, she developed six metastatic tumors on the anterior chest wall. She underwent subtotal sternectomy and rib resection, leaving a defect measuring 17 × 14 cm. Reconstruction of the anterior chest wall using a titanium plate sandwiched between two polypropylene mesh sheets is described. This method is potentially applicable to extensive anterior chest resection, and its advantages compared with conventional prostheses are rigidity, flexibility, and usability.
authors.affiliation: Division of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. kmatsumo@nagasaki-u.ac.jp
authors.forename: Keitaro
authors.initials: K
authors.lastname: Matsumoto
authors.forename: Isao
authors.initials: I
authors.lastname: Sano
authors.forename: Akihiro
authors.initials: A
authors.lastname: Nakamura
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Morino
authors.forename: Naoya
authors.initials: N
authors.lastname: Yamasaki
authors.forename: Tomoshi
authors.initials: T
authors.lastname: Tsuchiya
authors.forename: Takuro
authors.initials: T
authors.lastname: Miyazaki
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nagayasu
mesh_terms: D000368:Aged; D001859:Bone Neoplasms / Q000473:pathology / Q000601:surgery*; D001860:Bone Plates; D002813:Chondrosarcoma / Q000556:secondary / Q000601:surgery*; D005260:Female; D006801:Humans; D019637:Orthopedic Procedures / Q000295:instrumentation*; D010027:Osteotomy; D011126:Polypropylenes; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000295:instrumentation*; D013249:Sternum / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014025:Titanium; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D011126:Polypropylenes; D014025:Titanium