Premnath N, Lo H L, Cheong Y T, Manjit S
Department of Surgery, Hospital Pulau Pinang.
Med J Malaysia. 2002 Sep;57(3):368-70.
Removal of the whole sternum for malignant tumours results in a large defect, causing severe deformity and possible paradoxical movements of the chest wall. The reconstruction of the resultant large defect of the chest wall is often complex and difficult. Commonly used materials include rib autograft, steel strus acrylic plate and various synthetic meshes such as Goretex or Marlex mesh, with a myocutaneous flap for coverage. A case of a 48-year-old man with sternal chondrosarcoma successfully treated with thoracoplasty using acrylic plate-marlex mesh combination following near total resection of sternum is reported.
因恶性肿瘤切除整个胸骨会导致巨大缺损，引起严重畸形及胸壁可能出现的反常运动。由此产生的胸壁巨大缺损的重建通常复杂且困难。常用材料包括自体肋骨、钢支柱丙烯酸板以及各种合成网片，如戈尔特斯（Goretex）或玛莱克斯（Marlex）网片，并采用肌皮瓣进行覆盖。本文报道了一例48岁男性胸骨软骨肉瘤患者，在胸骨近乎全切除后，采用丙烯酸板 - 玛莱克斯网片组合进行胸廓成形术成功治疗的病例。
