Joalsen Ivan, Christian David, Rosalie Amy, Angga Made
Division of Thoracic, Cardiac and Vascular Surgery, Mulawarman University - Abdul Wahab Sjahranie Hospital Samarinda, East Borneo, Indonesia.
Division of Thoracic, Cardiac and Vascular Surgery, Mulawarman University - Abdul Wahab Sjahranie Hospital Samarinda, East Borneo, Indonesia.
Int J Surg Case Rep. 2020;77:111-115. doi: 10.1016/j.ijscr.2020.10.117. Epub 2020 Oct 29.
Some chest wall tumors require extensive excision that alters its stability and integrity. Various materials are available as a prosthetic albeit currently lacking in clear guidelines regarding the material of choice. Titanium-based mesh offers appropriate properties for chest wall reconstruction, making it a promising choice of prosthetic.
A 50-year-old male presenting with a chest lump was suspected of a chondrosarcoma of the chest wall. Preoperative pulmonary rehabilitation and smoking cessation was performed 1 month prior to surgery. After a wide excision procedure, we utilized titanium mesh as a reconstructive material. Pathology evaluation reported the examined tissue as a myxofibrosarcoma. The patient was successfully weaned off of ventilator in less than 24 h with satisfactory postoperative outcome.
The various available material has each of its strengths and drawbacks and it is crucial to choose the most fitting option to acquire better postoperative outcome as well as maintaining the quality of life. The use of titanium mesh in thoracic reconstruction has not been widely explored and reported, therefore, it is important to underline its advantages and disadvantages as a potential choice for prosthetic.
Titanium mesh provides appropriate features for a chest wall reconstruction; therefore, it can be considered as a promising alternative material.
一些胸壁肿瘤需要广泛切除，这会改变胸壁的稳定性和完整性。尽管目前在选择合适的修复材料方面缺乏明确的指导原则，但有多种材料可作为假体使用。钛网具有适合胸壁重建的特性，使其成为一种有前景的假体选择。
一名50岁男性因胸部肿块就诊，怀疑为胸壁软骨肉瘤。术前1个月进行了肺康复和戒烟。在广泛切除术后，我们使用钛网作为重建材料。病理评估报告送检组织为黏液纤维肉瘤。患者在术后不到24小时成功脱机，术后结果令人满意。
各种可用材料都有其优缺点，选择最合适的选项对于获得更好的术后结果以及维持生活质量至关重要。钛网在胸壁重建中的应用尚未得到广泛研究和报道，因此，强调其作为假体潜在选择的优缺点很重要。
钛网为胸壁重建提供了合适的特性；因此，它可被视为一种有前景的替代材料。
