The Reconstruction of The Anterior Thorax Wall After Sternal Resection Through the Combination of Autologous Fibula Graft and Metal Plate
Despite rare entities, postoperative sternal osteomyelitis and mediastinitis are pathologies with high mortality that require certain surgical treatment. Even though many techniques are performed for the reconstruction of the sternal resection and anterior thorax wall, there is no accepted gold standard method yet. We present the reconstruction method we performed through the combination of free fibula autograft and metal plate.
1. Marulli G, Hamad AM, Cogliati E, Breda C, Zuin A, Rea F. Allograft sternochondral replacement after resection of large sternal chondrosarcoma. J Thorac Cardiovasc Surg 2010;139:e69–70.
2. Karameşe M, Akdağ O, Ünal Yıldıran G, Selimoğlu MN, Görmüş N, Tosun Z. Vacuum therapy and pectoralis major muscle flap combination in treatment of sternal infections: a case report. Turk J Plast Surg 2014;22:117–20.
3. Moor EV, Neuman RA, Weinberg A, Wexler MR. Transposition of the great omentum for infected sternotomy wounds in cardiac surgery. Report of 16 cases and review of published reports. Scand J Plast Reconstr Surg Hand Surg 1999;33:25–9.
4. Herrera HR, Ginsburg ME. The pectoralis major myocutaneous flap and omental transposition for closure of infected median sternotomy wounds. Plast Reconstr Surg 1982;70:465–70.
5. Gorlitzer M, Wagner F, Pfeiffer S, Folkmann S, Meinhart J, Fischlein T, et al. A prospective randomized multicenter trial shows improvement of sternum related complications in cardiac surgery with the Posthorax support vest. Interact Cardiovasc Thorac Surg 2010;10:714–8. [CrossRef]
6. Szumniak R, Maciejewski A. The Use of Fibula Free Flap for Reconstruction of Anterior Chest Wall Full-Thickness Defects. Open Journal of Thoracic Surgery 2013;3:107–10. [CrossRef]
7. Cunha-Gomes D, Bhathena H, Kavarana N, Mistry R, Fakih A. A free fibula autologous transfer for a full-thickness anterior chest wall defect. Eur J Plast Surg 2001;24:140–3. [CrossRef]
8. Krabatsch T, Schmitt DV, Mohr FW, Hetzer R. Thoracic transposition of the greater omentum as an adjunct in the treatment of mediastinitis-pros and cons within the context of a randomised study. Eur J Surg Suppl 1999:45–8. [CrossRef]