Divisi Duilio, Tosi Davide, Zaccagna Gino, De Vico Andrea, Diotti Cristina, Crisci Roberto
University of L'Aquila, Department of MeSVA, Thoracic Surgery Unit, "Giuseppe Mazzini" Hospital, Teramo, Italy.
Thoracic Surgery and Lung Transplant Unit, Fondazione Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.
Front Surg. 2021 Jul 20;8:691945. doi: 10.3389/fsurg.2021.691945. eCollection 2021.
Sternal resection and anterior chest wall reconstruction techniques for malignant processes are not always standardized. We report an innovative method of sternal osteosynthesis in two patients, 65-year-old and 41-year-old women, with Ewing's sarcoma, and infiltrating thymoma, respectively. The first case manifested itself as a voluminous palpable mass while the second case was characterized for a paramediastinal mass widely extended to the anterior chest wall. Reconstruction with titanium mesh allowed the quick restoration of parietal stability, facilitating respiratory dynamic and recovery of patients.
用于恶性病变的胸骨切除及前胸壁重建技术并不总是标准化的。我们报告了一种创新的胸骨接骨术方法,应用于两名患者,分别是一名65岁和一名41岁的女性,她们分别患有尤因肉瘤和浸润性胸腺瘤。第一例表现为可触及的巨大肿块,而第二例的特征是纵隔旁肿块广泛延伸至前胸壁。使用钛网进行重建可快速恢复胸壁稳定性,促进患者呼吸功能及康复。