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CC BY-NC-ND 4.0 · Indian J Plast Surg 2020; 53(03): 419-422
DOI: 10.1055/s-0040-1721547
Case Report

Complete Sternal Cleft Repair

Ankita Harijee
1   Department of Plastic & Reconstructive Surgery, Amrita Institute of Medical Sciences & Research Centre, Kochi, India
,
Sundeep Vijayaraghavan
1   Department of Plastic & Reconstructive Surgery, Amrita Institute of Medical Sciences & Research Centre, Kochi, India
,
Arjun Reddy Marathi
1   Department of Plastic & Reconstructive Surgery, Amrita Institute of Medical Sciences & Research Centre, Kochi, India
,
Brijesh Parayaru Kottayil
2   Department of Cardiovascular & Thoracic Surgery, Amrita Institute of Medical Sciences & Research Centre, Kochi, India
,
Mahesh Kappanayil
3   Department of Paediatric Cardiology, AIMS 3D Printing & Innovation Laboratory, Amrita Institute of Medical Sciences & Research Centre, Kochi, India
,
Praveen Reddy Bayya
2   Department of Cardiovascular & Thoracic Surgery, Amrita Institute of Medical Sciences & Research Centre, Kochi, India
,
Jessin P Jayashankar
4   Department of Anesthesiology, Amrita Institute of Medical Sciences & Research Centre, Kochi, India
› Author Affiliations Funding No source of funding.
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Abstract

Sternal cleft (SC) is a rare congenital malformation which can be partial or complete.

We report a case of complete SC in a 9-month-old child. Our technique involves a combination of reinforcement with the deep cervical fascial extension, followed by the anterior perichondrial flaps, bridged with the rib graft, incorporating surplus resected cartilaginous xiphoid process, and covered with the bilateral pectoralis major muscle flap for the chest wall reconstruction with 3D printing assisting preoperative planning. The size of the defect in relation to the age of presentation was a deciding factor in the adoption of this alternative surgical technique.

Keywords

3D printing - chest wall reconstruction - sternal cleft


Publication History

Article published online:
30 December 2020

© 2020. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Ravitch MM. Disorders of the sternum and the thoracic wall. In: Sabiston DC Jr, Spencer FC, eds. Gibbon's Surgery of the Chest. 4th ed. Philadelphia: WB Saunders 1983: 318-360
  • 2 Kamal Y. Sternal cleft: appropriate approach to diagnosis and treatment. Surgery & Case Studies: Open Access Journal 2018; (e-pub ahead of print). doi:
    CrossrefSearch in Google Scholar
  • 3 Firmin RK, Fragomeni LS, Lennox SC. Complete cleft sternum. Thorax 1980; 35 (04) 303-306
    CrossrefPubMedSearch in Google Scholar
  • 4 Kabiri H, Traibi A, Boulahya A. Complete sternal cleft in an adult: case report. Gen Thorac Cardiovasc Surg 2011; 59 (08) 587-589
    CrossrefPubMedSearch in Google Scholar
  • 5 Sarper A, Oz N, Arslan G, Demircan A. Complete congenital sternal cleft associated with pectus excavatum. Tex Heart Inst J 2002; 29 (03) 206-209
    PubMedSearch in Google Scholar
  • 6 Biswas G, Khandelwal NK, Venkatramu NK, Chari PS. Congenital sternal cleft. Br J Plast Surg 2001; 54 (03) 259-261
    CrossrefPubMedSearch in Google Scholar
  • 7 Jadhav V, Rao S, D’Cruz A. Autologous repair of isolated complete sternal cleft in an adolescent. J Pediatr Surg 2009; 44 (12) 2414-2416
    CrossrefPubMedSearch in Google Scholar
  • 8 Jabbad H, Shehata R, Al-Ebrahim KE. Primary repair of complete sternal cleft in an adult: a 4-year follow-up. Tex Heart Inst J 2011; 38 (04) 452-453
    PubMedSearch in Google Scholar