Harijee Ankita, Vijayaraghavan Sundeep, Marathi Arjun Reddy, Kottayil Brijesh Parayaru, Kappanayil Mahesh, Bayya Praveen Reddy, Jayashankar Jessin P
Department of Plastic & Reconstructive Surgery, Amrita Institute of Medical Sciences & Research Centre, Kochi, India.
Department of Cardiovascular & Thoracic Surgery, Amrita Institute of Medical Sciences & Research Centre, Kochi, India.
Indian J Plast Surg. 2020 Dec;53(3):419-422. doi: 10.1055/s-0040-1721547. Epub 2020 Dec 30.
Sternal cleft (SC) is a rare congenital malformation which can be partial or complete. We report a case of complete SC in a 9-month-old child. Our technique involves a combination of reinforcement with the deep cervical fascial extension, followed by the anterior perichondrial flaps, bridged with the rib graft, incorporating surplus resected cartilaginous xiphoid process, and covered with the bilateral pectoralis major muscle flap for the chest wall reconstruction with 3D printing assisting preoperative planning. The size of the defect in relation to the age of presentation was a deciding factor in the adoption of this alternative surgical technique.
胸骨裂（SC）是一种罕见的先天性畸形，可为部分性或完全性。我们报告一例9个月大儿童的完全性胸骨裂病例。我们的技术包括结合颈深筋膜延伸进行加固，接着采用前软骨膜瓣，用肋骨移植进行桥接，并入切除的多余剑突软骨，并用双侧胸大肌瓣覆盖以进行胸壁重建，术前规划借助3D打印辅助。缺损大小与就诊年龄的关系是采用这种替代手术技术的决定性因素。
