Download PDF
CC BY-NC 4.0 · Arch Plast Surg 2022; 49(01): 25-28
DOI: 10.5999/aps.2021.01067
Breast/Trunk
Idea and Innovation

Acellular dermal matrix and bone cement sandwich technique for chest wall reconstruction

Chan Yeong Heo 
Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
,
Byungkwon Kang 
Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
,
Jae Hoon Jeong 
Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
,
Kwhanmien Kim 
Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
,
Yujin Myung 
Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
› Author Affiliations
› Further Information
   Permissions and Reprints

The authors performed rigid reconstruction using the sandwich technique for full-thickness chest wall defects by using two layers of acellular dermal matrix and bone cement. We assessed six patients who underwent chest wall reconstruction. Reconstruction was performed by sandwiching bone cement between two layers of acellular dermal matrix. In all patients, there was no defect of the overlying soft tissue, and primary closure was performed for external wounds. The average follow-up period was 4 years (range, 2–8 years). No major complications were noted. The sandwich technique can serve as an efficient and safe option for chest wall reconstruction.

Keywords

Acellular dermis - Thoracic wall - Bone cements - Reconstructive surgical procedures - Thoracoplasty


Publication History

Received: 09 June 2021

Accepted: 14 September 2021

Article published online:
02 June 2022

© 2022. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • REFERENCES

  • 1 Netscher DT, Izaddoost S, Sandvall B. Complications, pitfalls, and outcomes after chest wall reconstruction. Semin Plast Surg 2011; 25: 86-97
    PubMedSearch in Google Scholar
  • 2 Basta MN, Fischer JP, Lotano VE. et al. The thoracoplastic approach to chest wall reconstruction: preliminary results of a multidisciplinary approach to minimize morbidity. Plast Reconstr Surg 2014; 134: 959e-967e
    PubMedSearch in Google Scholar
  • 3 Weyant MJ, Bains MS, Venkatraman E. et al. Results of chest wall resection and reconstruction with and without rigid prosthesis. Ann Thorac Surg 2006; 81: 279-85
    PubMedSearch in Google Scholar
  • 4 Collaud S, Pfofe D, Decurtins M. et al. Mesh-bone cement sandwich for sternal and sternoclavicular joint reconstruction. Eur J Cardiothorac Surg 2013; 43: 643-5
    PubMedSearch in Google Scholar
  • 5 Aghajanzadeh M, Alavi A, Aghajanzadeh G. et al. Reconstruction of chest wall using a two-layer prolene mesh and bone cement sandwich. Indian J Surg 2015; 77: 39-43
    PubMedSearch in Google Scholar
  • 6 Robinson TN, Clarke JH, Schoen J. et al. Major mesh-related complications following hernia repair: events reported to the Food and Drug Administration. Surg Endosc 2005; 19: 1556-60
    PubMedSearch in Google Scholar
  • 7 Wong RK, Gandolfi BM, St-Hilaire H. et al. Complications of hydroxyapatite bone cement in secondary pediatric craniofacial reconstruction. J Craniofac Surg 2011; 22: 247-51
    PubMedSearch in Google Scholar
  • 8 Ge PS, Imai TA, Aboulian A. et al. The use of human acellular dermal matrix for chest wall reconstruction. Ann Thorac Surg 2010; 90: 1799-804
    PubMedSearch in Google Scholar
  • 9 Sodha NR, Azoury SC, Sciortino C. et al. The use of acellular dermal matrices in chest wall reconstruction. Plast Reconstr Surg 2012; 130 (5 Suppl 2): 175S-182S
    PubMedSearch in Google Scholar