Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Repair of Inferior Sternal Cleft Using Bilateral Sternal Bar Turnover Flaps in a Patient with Pentalogy of Cantrell

  • Chia, Hui-Ling (Department of Plastic, Reconstructive and Aesthetic Surgery, KK Women's and Children's Hospital) ;
  • Yeow, Vincent Kok-Leng (Department of Plastic, Reconstructive and Aesthetic Surgery, KK Women's and Children's Hospital)
  • Received : 2013.03.07
  • Accepted : 2013.08.29
  • Published : 2014.01.15
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Abstract

We report a case of sternal reconstruction using bilateral sternal bar turnover flaps in a 4-year-old boy with an inferior sternal cleft, as part of Cantrell's pentad. When the patient was 10 months old, he underwent sternal reconstruction using a resorbable poly-L-lactic-polyglycolic acid plate in the first stage when there was insufficient autogenous tissue to provide a reliable reconstruction. Bilateral sternal bar turnover was performed in the second stage at 4 years of age. This operative technique is described in this report. This novel technique provides a robust, dynamic, and reliable reconstruction for inferior sternal defects.

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References

  1. Cantrell JR, Haller JA, Ravitch MM. A syndrome of congenital defects involving the abdominal wall, sternum, diaphragm, pericardium, and heart. Surg Gynecol Obstet 1958; 107:602-14.
  2. Chia HL, Rasheed MZ, Ong KK, et al. Repair of ectopia cordis using a resorbable poly-L-lactic-polyglycolic acid plate in a patient with pentalogy of Cantrell. J Pediatr Surg 2012;47:e1-4.
  3. de Campos JR, Filomeno LT, Fernandez A, et al. Repair of congenital sternal cleft in infants and adolescents. Ann Thorac Surg 1998;66:1151-4. https://doi.org/10.1016/S0003-4975(98)00596-7
  4. Jadhav V, Rao S, D'Cruz A. Autologous repair of isolated complete sternal cleft in an adolescent. J Pediatr Surg 2009; 44:2414-6. https://doi.org/10.1016/j.jpedsurg.2009.09.019
  5. Lampert JA, Harmaty M, Thompson EC, et al. Chest wall reconstruction in thoracoabdominal ectopia cordis: using the pedicled osteomuscular latissimus dorsi composite flap. Ann Plast Surg 2010;65:485-9. https://doi.org/10.1097/SAP.0b013e3181d376a3

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