Current Techniques for Chest Wall Reconstruction: Expanded Possibilities for Treatment

Reconstruction of Thoracic Wall Defect with Polytetrafluoroethylene Graft

“…Olgumuzun uzun süreli takiplerinde grefte bağlı komplikasyon oluşmamıştır. PTFE'de postoperatif dönemde zamanla toraks duvarı yapıları ile birleşmekte ve greftte gevşeme oluşarak paradoks solunum meydana gelebilmektedir [6]. Postoperatif olguda gelişen kuvvetli öksürük nedeniyle, hastanın solunumunu etkilemeyecek şekilde greftte bir miktar gevşeme olmuş-tur.…”

Resection of Sternal Tumors and Reconstruction of the Thorax: A Review of 15 Patients

“…Marlex or Prolene mesh with or without pedicled musculocutaneous flaps are still used most frequently for the reconstruction of chest wall defects. 3,6,[8][9][10][11][12][13]18 Marlex mesh is easy to handle, it assimilates well with the surrounding soft tissues, it is resistant to infection, and it is radiotransparent. Its major drawback lies in limited resilience, even when sutured in traction, and it may result in a flail chest if the skeletal defect is large.…”

“…Methyl methacrylate is the most commonly used rigid alloplastic material to prevent flail chest and deformity of the thorax. [1][2][3][4]8,10,[12][13][14][15]20,21 We used stainlesssteel mesh and titanium plates in this series because they are simple to use, durable, and do not become easily dislodged with direct fixation to the bony structure. 16,17 The solidity of methyl methacrylate makes direct fixation difficult.…”

“…Various reconstruction techniques after resection of primary [1][2][3] or secondary sternal 4-7 tumors, or both, [8][9][10][11][12][13][14][15] have been described, using autologous bone grafts, musculocutaneous flaps, and alloplastic materials. These reconstruction techniques have enabled wide resection, relieved troublesome complaints, prevented flail chest, and achieved good local control and survival.…”

Resection of Sternal Metastasis from Endometrial Carcinoma Followed by Reconstruction with Sandwiched Marlex and Stainless Steel Mesh: Report of a Case

“…Marlex mesh used alone or in combination with a pedicled musculocutaneous flap is now used frequently in chest wall reconstruction. 1,[6][7][8][9][10][11] Marlex mesh is easy to handle, has good assimilation with the surrounding soft tissues, is resistant to infection, and is radiotransparent. 12 Its main drawback lies in its limited resilience, even when sutured in traction, and it can result in a flail chest if the skeletal defect is large.…”