Departments of Cardiothoracic Surgery, Plastic Surgery, and Oncology, Children's Health Ireland at Crumlin, Dublin, Ireland.
Department of Plastic Surgery, Children's Health Ireland at Crumlin, Dublin, Ireland.
Ann Thorac Surg. 2021 Jun;111(6):e389-e391. doi: 10.1016/j.athoracsur.2020.09.079. Epub 2020 Dec 24.
Reconstruction of extensive chest wall defects is challenging in young children. Rigid prosthetic plates, designed to prevent paradoxic respiration, do not grow with the child and may result in progressive chest and spinal deformity. Also because of the greater proportionate size of the thorax relative to the limbs in young children, extrathoracic soft tissue flaps may be too small for an adequate reconstruction. Here we report reconstruction of a large chest wall defect after resection of a Ewing's sarcoma in a 2-year-old boy using Permacol membrane (Medtronic, Minneapolis, MN) supported by a diagonally translocated seventh rib and covered by a latissimus dorsi flap.
重建大面积胸壁缺损对于幼儿来说具有挑战性。为了防止反常呼吸而设计的刚性假体板不能随患儿生长而变化，可能导致进行性的胸廓和脊柱畸形。此外，由于幼儿的胸廓相对于四肢的比例较大，胸外软组织皮瓣可能太小，无法进行充分的重建。在此，我们报告了一例 2 岁男孩因尤文肉瘤切除术后，使用 Permacol 膜（美敦力，明尼苏达州明尼阿波利斯）支撑斜向移位的第 7 肋骨，并覆盖背阔肌皮瓣，重建大面积胸壁缺损。
