ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Robert J. McKenna, Jr.
Clifton F. Mountain
Quentin R. Stiles
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by McKenna, R. J.
Right arrow Articles by Stiles, Q. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by McKenna, R. J., Jr.
Right arrow Articles by Stiles, Q. R.

Ann Thorac Surg 1988;46:508-512
© 1988 The Society of Thoracic Surgeons

Articles

Current Techniques for Chest Wall Reconstruction: Expanded Possibilities for Treatment

Robert J. McKenna, Jr., M.D., Clifton F. Mountain, M.D.*, Marion J. McMurtrey, M.D., David Larson, M.D., Quentin R. Stiles, M.D.

Departments of Thoracic Surgery and Plastic Surgery, The University of Texas M. D. Anderson Hospital and Tumor Institute at Houston, Houston, TX, and the Hospital of the Good Samaritan and Los Angeles County-University of Southern California Medical Center, Los Angeles, CA

* Address reprint requests to Dr. Mountain, Department of Thoracic Surgery, The University of Texas M. D. Anderson Hospital, Box 109, Houston, TX 77030

Myocutaneous flaps and prosthetic materials have greatly facilitated reconstruction after massive chest wall resection. This series includes 112 such procedures. Latissimus dorsi, rectus abdominis, omental, pectoralis major, and contralateral breast flaps were used in 80 patients. Early in the series, 3 flaps were lost because of technical problems. Minor areas of incomplete healing that resolved completely with local wound care occurred in 16 of 80 flaps. Skeletal reconstruction was performed in 82 patients without complication. Marlex mesh was used for flat surfaces, and Marlex mesh with methyl methacrylate was used for the sternum and the curved surface of the lateral chest wall. These results have allowed an expansion of the indications for chest wall resection to include the curative treatment of primary chest wall tumors and palliative treatment for breast cancer patients with osteoradionecrosis, local recurrence (in select patients), chest wall infection, and tumors metastatic to the chest wall.




This article has been cited by other articles:


Home page
 Eur J Cardiothorac SurgHome page
J.-P. Berthet, L. Solovei, O. Tiffet, A. Gomez-Caro, S. Bommart, L. Canaud, P. Alric, and C.-H. Marty-Ane
Chest-wall reconstruction in case of infection of the operative site: is there any interest in titanium rib osteosynthesis?
Eur J Cardiothorac Surg, February 27, 2013; (2013) ezt084v1.
[Abstract] [Full Text] [PDF]

Home page
 Interact CardioVasc Thorac SurgHome page
T. Eguchi, R. Kondo, T. Shiina, and K. Yoshida
An intrathoracic scapular prolapse with hemorrhagic shock after a thoracotomy
Interact CardioVasc Thorac Surg, February 1, 2011; 12(2): 326 - 327.
[Abstract] [Full Text] [PDF]

Home page
 Interact CardioVasc Thorac SurgHome page
T. Nagayasu, N. Yamasaki, T. Tagawa, T. Tsuchiya, T. Miyazaki, A. Nanashima, M. Obatake, and H. Yano
Long-term results of chest wall reconstruction with DualMesh
Interact CardioVasc Thorac Surg, November 1, 2010; 11(5): 581 - 584.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
X. Qin, H. Tang, Z. Xu, X. Zhao, Y. Sun, Z. Gong, and L. Duan
Chest wall reconstruction with two types of biodegradable polymer prostheses in dogs
Eur J Cardiothorac Surg, October 1, 2008; 34(4): 870 - 874.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. J. Weyant, M. S. Bains, E. Venkatraman, R. J. Downey, B. J. Park, R. M. Flores, N. Rizk, and V. W. Rusch
Results of Chest Wall Resection and Reconstruction With and Without Rigid Prosthesis
Ann. Thorac. Surg., January 1, 2006; 81(1): 279 - 285.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
A. Watanabe, T. Watanabe, T. Obama, H. Ohsawa, T. Mawatari, Y. Ichimiya, N. Takahashi, and T. Abe
New material for reconstruction of the anterior chest wall, including the sternum
J. Thorac. Cardiovasc. Surg., October 1, 2003; 126(4): 1212 - 1214.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. Lardinois, M. Muller, M. Furrer, A. Banic, M. Gugger, T. Krueger, and H.-B. Ris
Functional assessment of chest wall integrity after methylmethacrylate reconstruction
Ann. Thorac. Surg., March 1, 2000; 69(3): 919 - 923.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. J. Downey, V. Rusch, F. I. Hsu, L. Leon, E. Venkatraman, D. Linehan, M. Bains, K. van Zee, R. Korst, and R. Ginsberg
CHEST WALL RESECTION FOR LOCALLY RECURRENT BREAST CANCER: IS IT WORTHWHILE?
J. Thorac. Cardiovasc. Surg., March 1, 2000; 119(3): 420 - 428.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
B. Tunccozgur, L. Elbeyli, L. Gungor, F. Isik, and H. Akay
Chest wall reconstruction with autologas rib grafts in dogs and report of a clinic case
Eur J Cardiothorac Surg, September 1, 1999; 16(3): 292 - 295.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
C. Deschamps, B. M. Tirnaksiz, R. Darbandi, V. F. Trastek, M. S. Allen, D. L. Miller, P. G. Arnold, and P. C. Pairolero
Early And Long-Term Results Of Prosthetic Chest Wall Reconstruction
J. Thorac. Cardiovasc. Surg., March 1, 1999; 117(3): 588 - 592.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
P. L. Faries, M. D'Ayala, and G. H. Santos
PRIMARY IMMUNOBLASTIC B-CELL LYMPHOMA OF THE STERNUM
J. Thorac. Cardiovasc. Surg., October 1, 1997; 114(4): 684 - 685.
[Full Text]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
N. Martini, A. G. Huvos, M. E. Burt, R. T. Heelan, M. S. Bains, P. M. McCormack, V. W. Rusch, M. Weber, R. J. Downey, and R. J. Ginsberg
PREDICTORS OF SURVIVAL IN MALIGNANT TUMORS OF THE STERNUM
J. Thorac. Cardiovasc. Surg., January 1, 1996; 111(1): 96 - 106.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
O. Soysal, G. L. Walsh, J. C. Nesbitt, M. J. McMurtrey, J. A. Roth, and J. B. Putnam Jr
Resection of sternal tumors: extent, reconstruction, and survival
Ann. Thorac. Surg., November 1, 1995; 60(5): 1353 - 1359.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K. M. Al-Kattan, N. M. Breach, D. K. Kaplan, and P. Goldstraw
Soft-tissue reconstruction in thoracic surgery
Ann. Thorac. Surg., November 1, 1995; 60(5): 1372 - 1375.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
F. W. Grannis Jr and L. D. Wagman
Repair of a complex body wall defect using polytetrafluorethylene patches
Ann. Thorac. Surg., July 1, 1995; 60(1): 197 - 199.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
F. Puma, M. Ragusa, and G. Daddi
Chest wall stabilization with synthetic reabsorbable material
Ann. Thorac. Surg., March 1, 1992; 53(3): 408 - 411.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1988 by The Society of Thoracic Surgeons.