Abstract
Chest wall reconstruction is among one of the most challenging surgeries because the defect comprises multiple components and each needs to be reconstructed separately with like tissues. Chest wall reconstruction ranges from simple skin cover to complex bony and or mediastinal/precordial reconstruction. Various methods of reconstruction include autologous as well alloplastic techniques. Autologous techniques include regional or distant flaps with or without bone. Whereas alloplastic techniques include the placement of a variety of implant materials like titanium plate/mesh, stainless steel mesh, medpore and biocompatible 3D-printed models. we present this article where extensive resection was performed, aiming to complete removal of recurrent chest wall chondrosarcoma and defect included all components of chest wall including precordial lining. The reconstruction was performed by using combined autologous as well as alloplastic techniques using acrylic implant.
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References
De Palma A et al (2016) Chest wall stabilization and reconstruction: short and long-term results 5 years after the introduction of a new titanium plates system. J Thorac Dis 8:490–498
Mahabir RC, Butler CE (2011) Stabilization of the chest wall: autologous and alloplastic reconstructions. Semin Plast Surg 25:34–42
Luigi C et al (2004) Cranioplasty using acrylic material: a new technical procedure. J Craniomaxillofac Surg 32(1):5–9
Pandey S et al (2017) Mnemonics for gillies principles of plastic surgery and it importance in residency training programme. Indian J Plast Surg 50:114–5
Harati K, Kolbenschlag J, Behr B, Goertz O (2015) Tobias Hirsch, Nicolai Kapalschinski, Andrej Ring, Marcus Lehnhardt and Adrien Daigeler Thoracic wall reconstruction after tumor resection. Front Oncol 5:247
Watanabe A, Watanabe T, Obama T, Ohsawa H, Mawatari T, Ichimiya Y et al (2003) New material for reconstruction of the anterior chest wall, including the sternum. J Thorac Cardiovasc Surg 126(4):1212–1214. https://doi.org/10.1016/S0022-5223(03)00933-4
Urna A, Kavakli K, Sapmaz E, Arslan H, Caylak H, Gokce HS et al (2014) Reconstruction with a patient-specific titanium implant after a wide anterior chest wall resection. Interact Cardiovasc Thorac Surg 18(2):234–236
Bakri K, Mardini S, Evans KK, Carlsen BT, Arnold PG (2011) Workhorse flaps in chest wall reconstruction: the pectoralis major, latissimus dorsi, and rectus abdominis flaps. Semin Plast Surg 25(1):43–54. https://doi.org/10.1055/s-0031-1275170
Lee AB Jr, Schimert G, Shaktin S, Seigel JH (1976) Total excision of the sternum and thoracic pedicle transposition of the greater omentum; useful strategems in managing severe mediastinal infection following open heart surgery. Surgery 80(4):433–436
Gravina PR et al (2021) Sternal defect reconstruction using a double-barrel vascularised free fibula flap: a case report. Arch Plast Surg 48(5):498–502
Acknowledgements
The authors deeply thank Dr S. J. A. Zaidi for his dedicated efforts for obtaining cadaveric chest wall, making impressions and acrylization of the implant.
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Sandhya Pandey was responsible for concept, manuscript writing and clinical management of the patient. Vijay Kumar assisted in surgical management. Vikas Sharma is responsible for formatting the revised manuscript. Shailendra Yadav assisted in surgical management.
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Kumar, V., Pandey, S., Sharma, V. et al. Innovative Technique of Chest Wall Reconstruction After Extensive Tumour Ablation Surgery. Indian J Surg Oncol 15, 364–368 (2024). https://doi.org/10.1007/s13193-024-01890-5
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DOI: https://doi.org/10.1007/s13193-024-01890-5