Thoracic wall reconstruction with bioabsorbable plates in pediatric malignant thoracic wall tumors

Guillén, Gabriela; García, L; Marhuenda, C; Pellisé, Ferràn; Molino, Jose Andrés; Fontecha, César G.; López, Sabaté M.; Lloret, Jorge López

doi:10.1016/j.jpedsurg.2016.08.018

Cited by 13 publications

(10 citation statements)

References 24 publications

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“…Using an autologous flap in chest wall reconstruction is an option that is a complex but safe procedure; nevertheless, it may lead to inadequate functional and cosmetic results, especially in mid- and long-term follow-up. On the other hand, some surgeons have reported prosthetic material for reconstruction of the chest wall in this group of patients with acceptable results, but mid- and long-term results are not available and prosthetic material may interfere with the normal growth of the child ( 21 ); therefore, using bone allografts may be more beneficial for children.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Chest Wall by Cryopreserved Sternum Allograft After Resection of Sternal Hemangioma: A Case Report

Beigee

Sheikhy

2022

Front. Surg.

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A 5-year-old girl was referred to our department for a mass of sternum that was previously biopsied and diagnosed as hemangioma. Chest X-ray and CT scan confirmed a large sternal mass. We resected the sternum completely and reconstructed a large anterior chest wall defect by a cryopreserved sternal allograft. In the follow-up of the patient, there was no instability of the chest wall and acceptable cosmetic results.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of Chest Wall by Cryopreserved Sternum Allograft After Resection of Sternal Hemangioma: A Case Report

Beigee

Sheikhy

2022

Front. Surg.

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“…The last two decades had seen a progressive shift from rigid and metallic prosthesis toward more flexible materials, mostly for the reports of progressive deformations and scoliosis after surgical resection and reconstruction of the chest wall in children and adolescents (9,11,13,17).…”

Section: Discussionmentioning

confidence: 99%

“…Recently some authors reported their experience with bioresorbable plate, which could be a good addition to other available methods to reconstruct the chest wall in children, even if further studies are needed (5,10,11). Relevant papers have been summarized in Table 2 (5)(6)(7)(8)(9)(10)(11)(12)(13)(14).…”

Section: Discussionmentioning

confidence: 99%

Chest wall reconstruction in children and adolescents: recent personal experience from a case series and narrative review

Scanagatta¹,

Giorgetta²,

Ravalli³

et al. 2022

AME Surg J

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Background: Resection of chest wall tumors is a key step in multimodal treatment. In children and adolescents, planning a proper reconstruction is challenging, as the future growth of the chest wall should be foreseen and considered.Case Description: We present the satisfactory preliminary results of a case series. This is the first study regarding an original semi-rigid reconstruction technique following chest wall resection in children and adolescents operated for chest-wall tumors. We present the recent experience of 5 patients (age 12-18 years), treated by chest wall resection and reconstruction using a Polypropylene knitted mesh, technically adapted to obtain a semi-rigid prosthesis. A narrative review was performed through an electronic search for relevant studies from January 1990 to April 2022 in the following databases: PubMed, Science Direct, Embase, Scopus and Cochrane. Our reconstruction technique warranted good aesthetic and functional results in the short and medium term (follow-up 10-24 months). Currently we have not observed significant deformation of chest wall related to the surgical intervention. Conclusions:The use of a semi-rigid reconstruction technique following chest wall resection in patient during the growing age could provide satisfactory results without pulmonary impairment, long-term deformation and scoliosis-development, but long-term follow-up is still ongoing.

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“…The goals of reconstruction include protection, prevention of herniation and future deformities, preservation of ventilatory dynamics, and enabling radiotherapy [ 6 , 7 ]. Traditionally, reconstructive options should be considered when the resection includes more than four ribs, the defect is greater than 5 cm, or involves anterior or sternal rib resections [ 5 , 8 ].…”

Section: Purposementioning

confidence: 99%

“…Since first chest wall reconstruction done by Tensini in the XVIII century, this field has evolved significantly [ 8 ]. Alternatives have emerged with the use of absorbable and non-absorbable prosthetic materials, without a consensus regarding the ideal material for this purpose [ 7 , 9 ].…”

Section: Purposementioning

confidence: 99%

Clinical experience of thoracoplasty with absorbable rib substitutes

Mancera

Echeverri

Castillo³

et al. 2023

Pediatr Surg Int

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Purpose Malignant chest wall tumors are rare in pediatrics. They require multimodal oncological treatment and local surgical control. Resections are extensive; therefore, thoracoplasty should be planned to protect intrathoracic organs, prevent herniation, future deformities, preserve ventilatory dynamics, and enable radiotherapy. Methods We present a case series of children with malignant chest wall tumors and our surgical experience with thoracoplasty using absorbable rib substitutes (BioBridge®), after local surgical control. BioBridge® is a copolymer made of a polylactide acid blend (70% L-lactic acid y 30% DL-lactide). Results In 2 years, we had three patients with malignant chest wall tumors. Resection margins were negative, without recurrence at follow-up. We achieved good cosmetic and functional results, and no postoperative complications. Conclusion Alternative reconstruction techniques such as absorbable rib substitutes provide protection, guarantee a flexible chest wall, and do not interfere with adjuvant radiotherapy. Currently, there are no management protocols in thoracoplasty. This option represents an excellent alternative for patients with chest wall tumors. Knowledge of different approaches and reconstructive principles is essential to offer children the best onco-surgical option.

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Thoracic wall reconstruction with bioabsorbable plates in pediatric malignant thoracic wall tumors

Cited by 13 publications

References 24 publications

Reconstruction of Chest Wall by Cryopreserved Sternum Allograft After Resection of Sternal Hemangioma: A Case Report

Reconstruction of Chest Wall by Cryopreserved Sternum Allograft After Resection of Sternal Hemangioma: A Case Report

Chest wall reconstruction in children and adolescents: recent personal experience from a case series and narrative review

Clinical experience of thoracoplasty with absorbable rib substitutes

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