Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지
DOI QR코드

DOI QR Code

Acellular dermal matrix and bone cement sandwich technique for chest wall reconstruction

  • Heo, Chan Yeong (Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Kang, Byungkwon (Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Jeong, Jae Hoon (Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Kim, Kwhanmien (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Myung, Yujin (Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
  • Received : 2021.06.09
  • Accepted : 2021.09.14
  • Published : 2022.01.15
Download PDF
⟨ Previous Next ⟩

Abstract

The authors performed rigid reconstruction using the sandwich technique for full-thickness chest wall defects by using two layers of acellular dermal matrix and bone cement. We assessed six patients who underwent chest wall reconstruction. Reconstruction was performed by sandwiching bone cement between two layers of acellular dermal matrix. In all patients, there was no defect of the overlying soft tissue, and primary closure was performed for external wounds. The average follow-up period was 4 years (range, 2-8 years). No major complications were noted. The sandwich technique can serve as an efficient and safe option for chest wall reconstruction.

Keywords

References

  1. Netscher DT, Izaddoost S, Sandvall B. Complications, pitfalls, and outcomes after chest wall reconstruction. Semin Plast Surg 2011;25:86-97. https://doi.org/10.1055/s-0031-1275175
  2. Basta MN, Fischer JP, Lotano VE, et al. The thoracoplastic approach to chest wall reconstruction: preliminary results of a multidisciplinary approach to minimize morbidity. Plast Reconstr Surg 2014;134:959e-967e. https://doi.org/10.1097/PRS.0000000000000734
  3. Weyant MJ, Bains MS, Venkatraman E, et al. Results of chest wall resection and reconstruction with and without rigid prosthesis. Ann Thorac Surg 2006;81:279-85. https://doi.org/10.1016/j.athoracsur.2005.07.001
  4. Collaud S, Pfofe D, Decurtins M, et al. Mesh-bone cement sandwich for sternal and sternoclavicular joint reconstruction. Eur J Cardiothorac Surg 2013;43:643-5. https://doi.org/10.1093/ejcts/ezs512
  5. Aghajanzadeh M, Alavi A, Aghajanzadeh G, et al. Reconstruction of chest wall using a two-layer prolene mesh and bone cement sandwich. Indian J Surg 2015;77:39-43. https://doi.org/10.1007/s12262-013-0811-x
  6. Robinson TN, Clarke JH, Schoen J, et al. Major mesh-related complications following hernia repair: events reported to the Food and Drug Administration. Surg Endosc 2005;19:1556-60. https://doi.org/10.1007/s00464-005-0120-y
  7. Wong RK, Gandolfi BM, St-Hilaire H, et al. Complications of hydroxyapatite bone cement in secondary pediatric craniofacial reconstruction. J Craniofac Surg 2011;22:247-51. https://doi.org/10.1097/SCS.0b013e3181f7b7db
  8. Ge PS, Imai TA, Aboulian A, et al. The use of human acellular dermal matrix for chest wall reconstruction. Ann Thorac Surg 2010;90:1799-804. https://doi.org/10.1016/j.athoracsur.2010.07.080
  9. Sodha NR, Azoury SC, Sciortino C, et al. The use of acellular dermal matrices in chest wall reconstruction. Plast Reconstr Surg 2012;130(5 Suppl 2):175S-182S. https://doi.org/10.1097/PRS.0b013e31825f26b7