[Resection and reconstruction of sternum]

Masayuki Okui, Mitsutomo Kohno, Takao Shigenobu, Tai Hato, Ikuo Kamiyama, Taichiro Goto, Takashi Ohtsuka, Hirohisa Horinouchi

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Abstract

We have experienced 6 cases with resection and reconstruction of sternum. They were 1 with osteosarcoma, 1 with synovial sarcoma, 1 with sternal metastasis of fallopian tube cancer, 1 with sternal metastasis of thyroid cancer, 1 with desmoid tumor, and 1 with dermatofibrosarcoma protuberance. Resection of both manubrium and sternum was performed in 3 cases and sternum resection in 3. There was no total resection. We used a titanium reconstruction plate and titanium mesh in 3 cases, a titanium reconstruction plate and polypropylene mesh in 2, titanium mesh in 1 for reconstruction of bony defect, and rectus abdominis myocutaneous flap in 3, pectralis major muscle flap in 2, latissimus doris myocutaneous flap in 1 for reconstruction of soft tissue defect. Postoperative courses were uneventful, and flail chest was not observed. Reconstruction of the bony defect of the anterior chest wall with the titanium reconstruction plate and titanium mesh or polypropylene mesh was effective by providing sufficient rigidity as well as protection of the thoracic organs.

Original languageEnglish
Pages (from-to)38-43
Number of pages6
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume67
Issue number1
Publication statusPublished - 2014 Jan 1

ASJC Scopus subject areas

  • Medicine(all)

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    Okui, M., Kohno, M., Shigenobu, T., Hato, T., Kamiyama, I., Goto, T., Ohtsuka, T., & Horinouchi, H. (2014). [Resection and reconstruction of sternum]. Kyobu geka. The Japanese journal of thoracic surgery, 67(1), 38-43.