Reconstruction of large chest wall defects using three-dimensional custom-made implant technology

Işık, Hakan; İnan, Merve Şengül; Kavakli, Kuthan; Gürkök, Sedat

doi:10.5606/tgkdc.dergisi.2021.19385

Cited by 1 publication

(1 citation statement)

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“…A three-dimensional model of the bones can be extracted from computed tomography images using this technology to help the surgeon understand the defect that would appear after resection and construct a patient-specific prosthesis. [ 15 ] Thus, a prosthesis that is an exact duplicate of the original can be used to rectify the malformation. However, there is now a restricted supply of this technology, which calls for certain pieces of equipment and skills.…”

Section: Discussionmentioning

confidence: 99%

Should wide chest wall resections and reconstruction intimidate thoracic surgeons?

Kavaklı,

Işık,

Şengül İnan

et al. 2024

Turk Gogus Kalp Dama

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Background: This study aimed to compare patients in whom wide chest wall resection and reconstruction or primary closure was performed. Methods: A total of 63 patients who underwent chest wall resection and reconstruction between January 2018 and December 2022 were included in the retrospective study. The patients were divided into two groups: the first group, which included 31 patients (14 males, 17 females; mean age: 44.6±16.4 years; range, 16 to 71 years) who were closed primarily, and the second group, constituting 32 patients (25 males, 7 females; mean age: 54.6±17.2 years; range, 9 to 80 years) who underwent reconstruction with plates and meshes. Results: There was no significant difference between the two groups in terms of smoking and diabetes. Primary chest wall or metastatic tumor was determined in 33 patients; benign tumor and trauma were determined in 30 patients. The difference between the two groups in mean defect diameter (p=0.009), mean number of plates used (p<0.001), and mean hospital stay (p<0.001) was statistically significant. However, there was no significant difference in terms of complications (p=0.426). Conclusion: Wide chest wall resection and reconstruction is a safe and feasible surgical procedure when compared with primary closure.

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Section: Discussionmentioning

confidence: 99%