Abstract
Chest wall reconstruction after en-bloc tumor resection is very important to preserve functional mobility and to enhance the cosmetic effect. Because they are flexible and pliable, titanium plates are proposed to reconstruct the chest wall, even though such chest wall reconstruction has been performed in only a few cases worldwide. We present a case of a 49-year-old man with a chondrosarcoma arising from the left 1st rib, invading the manubrium, clavicle, 2nd and 3rd ribs, and the anterior segment of the left upper lobe. After wide resection, the chest wall was reconstructed using titanium rib plates and Marlex mesh- the Bovine pericardium sandwich type. The patient tolerated the pain well, and fourteen months after surgery, the chest wall was well preserved function mobility and improved pulmonary function test.
Highlights
Chest wall defects larger than 5cm in size, in any location, and those more than 10cm in size, posterior or in close proximity to the scapula, must be reconstructed [1]
Chest wall reconstruction after en-bloc tumor resection is very important to preserve functional mobility and to enhance the cosmetic effect. Because they are flexible and pliable, titanium plates are proposed to reconstruct the chest wall, even though such chest wall reconstruction has been performed in only a few cases worldwide
We present a case of a 49-year-old man with a chondrosarcoma arising from the left 1st rib, invading the manubrium, clavicle, 2nd and 3rd ribs, and the anterior segment of the left upper lobe
Summary
Chest wall defects larger than 5cm in size, in any location, and those more than 10cm in size, posterior or in close proximity to the scapula, must be reconstructed [1]. LeRoux and Shama [2], proposed that the ideal characteristics of a prosthetic material are rigidity to invalidate paradoxical chest wall motion, inertness to allow in-growth of fibrotic tissue and decrease the like hood to the appropriate shape at the time of operation, and radiolucency to allow radiographic follow-up the underlying problem. Techniques have been developed for thoracic reconstruction surgery that allows resection of chondrosarcomas. Wide excision surgical treatment is the best choice for chondrosarcoma, after which localized recurrence is the most common problem. Titanium plates have sufficient inertness to allow the in-growth of fibrous tissue [3]. Because rigid titanium plates have many advantages, we expect to use them widely for chest wall reconstruction
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