Fouilloux Virginie, Bertin François, Peltier Emilie, Jouve Jean-Luc
Department of Cardiac Surgery, Timone Children's Hospital, Marseille, France.
Faculty of Medicine, Aix-Marseille University, Marseille, France.
European J Pediatr Surg Rep. 2019 Jan;7(1):e20-e23. doi: 10.1055/s-0039-1688775. Epub 2019 Aug 26.
Sternal cleft is a rare congenital abnormality, often associated with other congenital defects. We present the case of a 9-year-old child with complete sternal cleft, treated with an innovative sternal prosthesis. Surgery was performed to protect the heart and also, as pulsations was visible, leading to serious esthetical concerns, to enhance school integration, which was difficult. The porous alumina device used was initially designed for sternal reconstruction after refractory deep sternal wound infection or carcinoma. Surgery and early follow-up were simple. There was no complication and the follow-up of more than 1 year reveals a good healing without breath discomfort and a correct development of the chest wall. In this rare indication, the alumina ceramic sternal prosthesis offers a reliable alternative to classical methods, such as muscle flap, autogenous tissue transfer, costal homograft, and other prosthetic materials like mesh or synthetic patch.
胸骨裂是一种罕见的先天性异常，常与其他先天性缺陷相关。我们报告一例9岁完全性胸骨裂患儿，采用创新的胸骨假体进行治疗。手术旨在保护心脏，同时由于可见搏动，这会引发严重的美观问题，为促进其融入学校生活（这一点很困难）而实施。所使用的多孔氧化铝装置最初是为治疗难治性深部胸骨伤口感染或癌肿后的胸骨重建而设计的。手术及早期随访操作简单。未出现并发症，超过1年的随访显示愈合良好，无呼吸不适，胸壁发育正常。在这种罕见的适应证中，氧化铝陶瓷胸骨假体为传统方法（如肌瓣、自体组织转移、肋软骨同种异体移植以及其他假体材料如网片或合成补片）提供了可靠的替代方案。
