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

Early Access
Submitted: July 23, 2023
Accepted: December 4, 2023
Published: December 15, 2023
Chest wall resection, chest wall reconstruction, extra-axial chondroid chordoma, infection of reconstructive material
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Authors

Uyen-Thao Le
antonia.uyen-thao.le@uniklinik-freiburg.de
https://orcid.org/0000-0002-5671-3048
Department of Thoracic Surgery, Faculty of Medicine, Medical Center - University of Freiburg, Germany.
Jurij Kiefer
Department of Plastic Surgery, Faculty of Medicine, Medical Center - University of Freiburg, Germany.
Johannes Zeller
https://orcid.org/0000-0002-8122-9063
Department of Plastic Surgery, Faculty of Medicine, Medical Center - University of Freiburg, Germany.
Ömer Senbaklavaci
Department of Thoracic Surgery, Faculty of Medicine, Medical Center - University of Bern, Switzerland.
Filip Simunovic
Department of Plastic Surgery, Faculty of Medicine, Medical Center - University of Freiburg, Germany.
Laurin Titze
Department of Thoracic Surgery, Faculty of Medicine, Medical Center - University of Freiburg, Germany.

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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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.
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