Repair of Sternal Cleft in Children
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Purpose of Review
The goal of this paper is to review the surgical techniques for the correction of sternal cleft in children.
Various surgical techniques have been developed for the correction of sternal cleft since 1949, when the first successful repair was reported.
Sternal cleft is an uncommon congenital chest wall deformity. The optimal correction can be achieved by primary repair of the defect in patients younger than 1 year of age, especially during the neonatal period, mostly with an easy technique. In older children, more extensive techniques are applied, using either autologous tissues or synthetic prosthetic materials, with satisfactory functional and aesthetic results.
KeywordsSternal cleft Sternal fissure Surgical repair Chest wall
Compliance with Ethical Guidelines
Conflict of interest
Korkut Bostanci and Davor Stamenovic declare that they have no conflicts of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance
- 1.Shamberger RC. Chest wall deformities. In: Shields TW, editor. General thoracic surgery. Malvern: Williams & Wilkins; 1994. p. 529–57.Google Scholar
- 2.Fonkalsrud EW. Chest wall abnormalities. In: Baue AE, Geha AS, Hammond GL, Laks H, Naunheim KS, editors. Glenn’s thoracic and cardiovascular surgery. Stamford: Appleton & Lange; 1996. p. 581–92.Google Scholar
- 3.Shamberger RC, Hendren WH III. Congenital deformities. In: Pearson FG, Deslauriers J, Ginsberg RJ, Hiebert CA, McKneally MF, Urschel HC, editors. Thoracic surgery. New York: Churchill Livingstone; 1995. p. 1189–209.Google Scholar
- 4.Sabiston DC Jr. Disorders of the sternum and the thoracic wall congenital deformities of the chest wall. In: Sabiston Jr DC, Spencer FC, editors. Gibbon’s surgery of the chest. Philadelphia: WB Saunders Company; 1990. p. 418–37.Google Scholar
- 5.Welch KJ. Chest wall deformities. In: Holder TH, Ashcraft K, editors. Pediatric surgery. Philadelphia: WB Saunders Company; 1980. p. 162–82.Google Scholar
- 7.O’Neal M, Dwornik J, Ganey T, et al. Postnatal development of the human sternum. J Pediatric Orthop. 1998;18:398–405.Google Scholar
- 12.Ravitch MM. Congenital deformities of the chest wall and their operative correction. Philadelphia: Saunders; 1977. p. 23–5.Google Scholar
- 13.Lannelongue M. De le´ctocardie et de sa cure par autoplasie. Ann Med Chir. 1888;4:101.Google Scholar
- 18.Kontiris A, Tsironis A. Bifid sternal-successful repair by use of and acrylic plaque: report of a case. J Int Col Surg. 1964;41:301–7.Google Scholar
- 19.Daoud S, Jacob Y, Lefort G, et al. Correction de la bifide sternale par une prothese en silastic. Chir Pediat. 1964;21:415–7.Google Scholar
- 31.• Elsayed H, Soliman S; Reversed autogenous sternal plate flaps for treatment of sternal clefts: a novel technique. J Pediatr Surg 2015;50(11):1991–4. This article showed that reversed sternal flaps were a good option for older patients. Google Scholar
- 34.• Qin T, Liu Y, An Y; Repair of inferior sternal cleft using a titanium plate in an infant with pentalogy of cantrell. J Card Surg. 2016;31(11):700–2. This article showed the advantages of titanium plates when compared to other synthetic materials used for the repair of sternal clefts. Google Scholar
- 35.• Al-Yamani M, Lavrand F, Thambo JB, Roubertie F; Upper sternal cleft with a complex congenital heart defect: repair in a single stage. Ann Thorac Sur. 2016;101(2):760–2. This article revealed the advantages of using an absorbable polyglactin plate for the repair of sternal clefts. Google Scholar