title: Primary repair of sternal cleft with a double osteochondroplasty flap.
abstract: Sternal cleft is a rare congenital malformation affecting the anterior part of the chest wall. Surgical closure is recommended. It should be done early during the neonatal period because of the chest's flexibility. Associated abnormalities may have been previously excluded. Different surgical repairs have been described, but none has been proved to be superior to the others. We present the description of 2 cases managed with an original surgical technique. After dissecting the two sternal bars, they were approximated with several intercostal sutures under close cardiac and respiratory monitoring. A double perichondrium flap technique was then used and resulted in a double perichondrium layer. This technique is suitable for most cases and offers satisfying anatomical restoring and cosmetic results.
authors: Department of Pediatric Surgery, Children's Hospital, Limoges, France.
authors: Quentin
authors: Q
authors: Ballouhey
authors: Mateo
authors: M
authors: Armendariz
authors: Virginie
authors: V
authors: Vacquerie
authors: Pierre Sylvain
authors: PS
authors: Marcheix
authors: Daniel
authors: D
authors: Berenguer
authors: Dominique
authors: D
authors: Mouliès
authors: Laurent
authors: L
authors: Fourcade
mesh_terms: D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009139:Musculoskeletal Abnormalities / Q000175:diagnosis / Q000601:surgery*; D019637:Orthopedic Procedures; D010027:Osteotomy; D013249:Sternum / Q000002:abnormalities* / Q000601:surgery; D013524:Surgical Flaps; D013536:Suture Techniques; D016896:Treatment Outcome
keywords: Congenital anomaly; Primary repair; Sternal cleft
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