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: 232
PDF_EARLY VIEW: 119
Publisher's note
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.
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.
Merritt RE. Chest wall reconstruction without prosthetic material. Thorac Surg Clin 2017;27:165-9.
DOI: https://doi.org/10.1016/j.thorsurg.2017.01.010
Stacchiotti S, Sommer J, Chordoma Global Consensus Group. Building a global consensus approach to chordoma: a position paper from the medical and patient community. Lancet Oncol 2015;16:e71-83.
DOI: https://doi.org/10.1016/S1470-2045(14)71190-8
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.
DOI: https://doi.org/10.1097/00006534-200009010-00009
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)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- A. Brunelli, C. Pompili, M. Salati, Low-technology exercise test in the preoperative evaluation of lung resection candidates , Monaldi Archives for Chest Disease: Vol. 73 No. 2 (2010): Pulmonary series
- Carlos A. Jiménez-Ruiz, Marcos Garcia Rueda, Manuel A. Martinez Muñiz, Jacobo Sellarés, Maria A. Jiménez-Fuentes, Lourdes Lázaro Asegurado, Esther RodrÃguez Gonzalez, Concepción Rodriguez Garcia, Oriol Armengol, Emilia Abad, Teresa Peña, Adolfo Domenech del Rio, Juan A. Riesco Miranda, Varenicline in smokers with severe or very severe COPD after 24 weeks of treatment. A descriptive analysis: VALUE study , Monaldi Archives for Chest Disease: Vol. 87 No. 3 (2017)
- Seyed Jalal Hashemi, Seyed Ali Javad Moosavi, Esmaeil Idani, Ali Javaherforoushzadeh, Hanieh Raji, Association of esophageal dilatation in chest CT scan with gastroesophageal reflux disease: A case control study , Monaldi Archives for Chest Disease: Vol. 88 No. 2 (2018)
- D.P. Breen, S. Mallawathantri, A. Fraticelli, L. Greillier, P. Astoul, Feasibility of short term drainage for diagnostic thoracoscopy , Monaldi Archives for Chest Disease: Vol. 71 No. 2 (2009): Pulmonary series
- U. Yılmaz, H. Halilcolar, I. Unsal, S. Yapıcıoglu, Y. Yıldırım, M. Apaydın, Isolated interrupted inferior vena cava with azygos continuation mimicking paraesophageal lymph node enlargement , Monaldi Archives for Chest Disease: Vol. 65 No. 4 (2006): Pulmonary series
- J.P. Zellweger, Tobacco and tuberculosis , Monaldi Archives for Chest Disease: Vol. 69 No. 2 (2008): Pulmonary series
- Janet Fallon, Martin Plummeridge, Richard Daly, Andrew Medford, Linear probe 19-gauge endobronchial ultrasound diagnosis of a benign chondroid hamartoma , Monaldi Archives for Chest Disease: Vol. 88 No. 1 (2018)
- Raj Kumar, Manoj Kumar, Sukriti Raj, Rachna Rachna, Jyoti Mishra, Shyam Mani Dubey, Sourav Kumar, Dileep Kumar Arisham, Gunjan Goutam, Anil Kumar Mavi, Quitting tobacco through quitline services: impact in India , Monaldi Archives for Chest Disease: Early Access
- Aladdin Bashir, Matthew Holmes, Nebumathew Suresh, Pedram Panahi, Sameh Atta, Hannah T. Perkins, Clinton Lloyd, Sanjay Asopa, The impact of COVID-19 prevention measures on surgical wound infection rates post-cardiac surgery , Monaldi Archives for Chest Disease: Vol. 94 No. 2 (2024)
- G.F. Tassi, G.P. Marchetti, V. Pinelli, S. Chiari, Practical management of pleural empyema , Monaldi Archives for Chest Disease: Vol. 73 No. 3 (2010): Pulmonary series
<< < 1 2 3 4 5 6 7 8 9 10 > >>
You may also start an advanced similarity search for this article.
