Reconstruction with a patient-specific titanium implant after a wide anterior chest wall resection.
The reconstruction of full-thickness chest wall defects is a challenging problem for thoracic surgeons, particularly after a wide resection of the chest wall that includes the sternum. The location and the size of the defect play a major role when selecting the method of reconstruction, while acceptable cosmetic and functional results remain the primary goal. Improvements in preoperative imaging techniques and reconstruction materials have an important role when planning and performing a wide chest wall resection with a low morbidity rate. In this report, we describe the reconstruction of a wide anterior chest wall defect with a patient-specific custom-made titanium implant. An infected mammary tumour recurrence in a 62-year old female, located at the anterior chest wall including the sternum, was resected, followed by a large custom-made titanium implant. Latissimus dorsi flap and split-thickness graft were also used for covering the implant successfully. A titanium custom-made chest wall implant could be a viable alternative for patients who had large chest wall tumours.
Department of Thoracic Surgery, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey.
Akif
A
Turna
Kuthan
K
Kavakli
Ersin
E
Sapmaz
Hakan
H
Arslan
Hasan
H
Caylak
Hasan Suat
HS
Gokce
Ahmet
A
Demirkaya
D001860:Bone Plates; D001943:Breast Neoplasms / Q000473:pathology*; D018270:Carcinoma, Ductal, Breast / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery*; D017076:Computer-Aided Design; D005260:Female; D006801:Humans; D008875:Middle Aged; D061330:Multidetector Computed Tomography; D009361:Neoplasm Invasiveness; D010027:Osteotomy; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000295:instrumentation*; D013249:Sternum / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps; D013899:Thoracic Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery*; D035441:Thoracic Wall / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014025:Titanium; D016896:Treatment Outcome
D014025:Titanium
Chest wall resection; Implant; Reconstruction; Thoracic surgery