title: [Surgical reconstructive procedures of the chest wall after mediastinitis].
abstract: Sternal osteomyelitis as a direct consequence of advanced mediastinitis or as in most cases after median sternotomy is still associated with a prolonged hospital stay, increased morbidity and postoperative mortality. Early diagnosis and an adequate surgical treatment are decisive for the prognosis. Prerequisites for a secondary stabilization of the chest wall using wires or plates are sterile wound conditions. Diverse reconstructive techniques are available for anterior chest wall reconstruction depending on the defect size and localization. The various reconstructive methods including local and free flap coverage are described in this review article.
authors.affiliation: Abteilung für Thoraxchirurgie, Universitätsklinikum Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Deutschland. michael.ried@ukr.de.
authors.forename: M
authors.initials: M
authors.lastname: Ried
authors.affiliation: Zentrum für Plastische, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Regensburg, Regensburg, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Geis
authors.affiliation: Abteilung für Thoraxchirurgie, Universitätsklinikum Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Potzger
authors.affiliation: Abteilung für Thoraxchirurgie, Universitätsklinikum Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Neu
authors.affiliation: Zentrum für Plastische, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Regensburg, Regensburg, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Klein
authors.affiliation: Zentrum für Plastische, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Regensburg, Regensburg, Deutschland.
authors.forename: L
authors.initials: L
authors.lastname: Prantl
authors.affiliation: Abteilung für Thoraxchirurgie, Universitätsklinikum Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Deutschland.|Klinik für Thoraxchirurgie, Krankenhaus Barmherzige Brüder Regensburg, Regensburg, Deutschland.
authors.forename: H S
authors.initials: HS
authors.lastname: Hofmann
authors.affiliation: Zentrum für Plastische, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Regensburg, Regensburg, Deutschland.
authors.forename: J H
authors.initials: JH
authors.lastname: Dolderer
mesh_terms: D001860:Bone Plates; D001864:Bone Wires; D042241:Early Diagnosis; D061345:Early Medical Intervention; D058752:Free Tissue Flaps; D006801:Humans; D008480:Mediastinitis / Q000175:diagnosis / Q000601:surgery*; D010019:Osteomyelitis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013249:Sternum / Q000601:surgery*; D035441:Thoracic Wall / Q000601:surgery*
keywords: Chest wall; Omentum; Osteomyelitis; Sternum; Surgical flaps