https://doi.org/10.4081/monaldi.2023.2728
Repeated chest wall reconstruction after resection of a sternal chondroid chordoma with long-term postoperative infection of the reconstructive material
Submitted: July 23, 2023
Accepted: December 4, 2023
Published: December 15, 2023
Accepted: December 4, 2023
Abstract Views: 307
PDF_EARLY VIEW: 121
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
We present the case of a 23-year-old man with a chondroid chordoma of the sternum. The patient underwent chest wall resection, followed by stabilization using a sandwich graft of Prolene mesh and methylmethacrylate, covered with bilateral pedicled M. pectoralis flaps. After adjuvant radiotherapy and two years of follow-up, the patient developed a graft-associated infection. We removed the allogeneic material and the encapsulated abscess, and the wound was conditioned through negative wound pressure therapy. This time, wound closure and chest wall stabilization were achieved with a Prolene mesh covered by a free anterolateral thigh flap. This case demonstrates the importance of carefully considering the material for chest wall stabilization and establishing multidisciplinary cooperation.
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Fricke A, Bannasch H, Klein HF, et al. Pedicled and free flaps for intrathoracic fistula management. Eur J Cardiothorac Surg 2017;52:1211-7.
Momeni A, Kovach SJ. Important considerations in chest wall reconstruction. J Surg Oncol 2016;113:913-22.
DOI: https://doi.org/10.1002/jso.24216
Simunovic F, Koulaxouzidis G, Stark GB, Torio-Padron N. Infraareolar pectoralis major myocutaneous island flap as treatment of first choice for deep sternal wound infection. J Plast Reconstr Aesthet Surg 2013;66:187-92.
DOI: https://doi.org/10.1016/j.bjps.2012.09.023
Weise H, Naros A, Blumenstock G, et al. Donor site morbidity of the anterolateral thigh flap. J Craniomaxillofac Surg 2017;45:2105-8.
DOI: https://doi.org/10.1016/j.jcms.2017.09.022
Wee SJ, Hsu SY, Shih PK, et al. Free extended anterolateral thigh myocutaneous flap versus combined pedicled pectoralis major-latissimus dorsi myocutaneous flaps in deep and extensive sternal wound reconstruction. Microsurgery 2022;42:810-6.
DOI: https://doi.org/10.1002/micr.30949
Kimata Y, Uchiyama K, Ebihara S, et al. Anterolateral thigh flap donor-site complications and morbidity. Plast Reconstr Surg 2000;106:584-9.
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How to Cite
Le, Uyen-Thao, Jurij Kiefer, Johannes Zeller, Ömer Senbaklavaci, Filip Simunovic, and Laurin Titze. 2023. “Repeated Chest Wall Reconstruction After Resection of a Sternal Chondroid Chordoma With Long-Term Postoperative Infection of the Reconstructive Material”. Monaldi Archives for Chest Disease, December. https://doi.org/10.4081/monaldi.2023.2728.
Copyright (c) 2023 The Author(s)
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