Tran Minh D, Varzaly Jason A, Chan Justin C Y, Caplash Yugesh, Worthington Michael G
From the Department of Cardiothoracic Surgery and.
Department of Plastic Surgery, The Royal Adelaide Hospital, Adelaide, Australia.
Innovations (Phila). 2018 Jul/Aug;13(4):309-311. doi: 10.1097/IMI.0000000000000511.
Resection of sternal tumors can leave large defects, which exposes major mediastinal structures, and can affect respiratory mechanics. If feasible, resection is potentially a complex reconstructive challenge to restore normal and functional anatomy using conventional techniques. We report the first Australian use of a three-dimensional-printed titanium and PoreStar prosthesis in a 39-year-old woman for reconstruction after major surgical resection of the sternum for metastatic breast cancer. The patient successfully underwent excision of the sternum and costal cartilages as well as implantation of the prosthesis. We conclude that three-dimensional-printed prostheses are technically feasible to deliver excellent cosmetic result.
胸骨肿瘤切除可能会留下大的缺损,这会暴露主要的纵隔结构,并可能影响呼吸力学。如果可行,使用传统技术进行切除对恢复正常和功能解剖结构而言可能是一项复杂的重建挑战。我们报告了澳大利亚首例在一名39岁女性中使用三维打印钛和PoreStar假体,用于转移性乳腺癌胸骨大手术切除后的重建。患者成功接受了胸骨和肋软骨切除以及假体植入。我们得出结论,三维打印假体在技术上是可行的,能够带来出色的美容效果。