Saour Samer, Shaaban Hassan, McPhail Jane, McArthur Paul
Mersey Regional Burns and Plastics Unit, Whiston Hospital, Merseyside, UK.
J Plast Reconstr Aesthet Surg. 2008 Oct;61(10):1205-9. doi: 10.1016/j.bjps.2007.07.019. Epub 2007 Sep 14.
Chest wall reconstruction with a customised silicone prosthesis in 13 patients (five patients with pectus excavatum, six Poland's syndrome and two with post-surgical chest wall deformity) is presented. An alginate impression or CT scan with three-dimensional reconstruction was used to produce the final mould from which the silicone prosthesis was fabricated. The surface of the silicone implant was roughened to reduce capsular contracture and holes were incorporated to allow for tissue integration. Twelve patients had aesthetically acceptable results after a mean of 5 years follow up. This series indicates that accurate assessment of the defect, modifications on manufacture and proper placement of the implant result in a more satisfactory final outcome.
本文介绍了13例患者（5例漏斗胸、6例波兰综合征和2例术后胸壁畸形患者）采用定制硅胶假体进行胸壁重建的情况。通过藻酸盐印模或三维重建CT扫描制作最终模具，进而制造硅胶假体。硅胶植入物表面进行了粗糙化处理以减少包膜挛缩，并设有孔洞以促进组织整合。平均随访5年后，12例患者获得了美学上可接受的结果。该系列研究表明，对缺损进行准确评估、在制造过程中进行改进以及正确植入假体可带来更令人满意的最终效果。
