https://doi.org/10.4081/monaldi.2023.2728

Repeated chest wall reconstruction after resection of a sternal chondroid chordoma with long-term postoperative infection of the reconstructive material

Early Access
Submitted: July 23, 2023
Accepted: December 4, 2023
Published: December 15, 2023
Chest wall resection, chest wall reconstruction, extra-axial chondroid chordoma, infection of reconstructive material
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Authors

Uyen-Thao Le
antonia.uyen-thao.le@uniklinik-freiburg.de
https://orcid.org/0000-0002-5671-3048
Department of Thoracic Surgery, Faculty of Medicine, Medical Center - University of Freiburg, Germany.
Jurij Kiefer
Department of Plastic Surgery, Faculty of Medicine, Medical Center - University of Freiburg, Germany.
Johannes Zeller
https://orcid.org/0000-0002-8122-9063
Department of Plastic Surgery, Faculty of Medicine, Medical Center - University of Freiburg, Germany.
Ömer Senbaklavaci
Department of Thoracic Surgery, Faculty of Medicine, Medical Center - University of Bern, Switzerland.
Filip Simunovic
Department of Plastic Surgery, Faculty of Medicine, Medical Center - University of Freiburg, Germany.
Laurin Titze
Department of Thoracic Surgery, Faculty of Medicine, Medical Center - University of Freiburg, Germany.

We present the case of a 23-year-old man with a chondroid chordoma of the sternum. The patient underwent chest wall resection, followed by stabilization using a sandwich graft of Prolene mesh and methylmethacrylate, covered with bilateral pedicled M. pectoralis flaps. After adjuvant radiotherapy and two years of follow-up, the patient developed a graft-associated infection. We removed the allogeneic material and the encapsulated abscess, and the wound was conditioned through negative wound pressure therapy. This time, wound closure and chest wall stabilization were achieved with a Prolene mesh covered by a free anterolateral thigh flap. This case demonstrates the importance of carefully considering the material for chest wall stabilization and establishing multidisciplinary cooperation.

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Citations

Crossref
Scopus
Google Scholar
Europe PMC
Merritt RE. Chest wall reconstruction without prosthetic material. Thorac Surg Clin 2017;27:165-9. DOI: https://doi.org/10.1016/j.thorsurg.2017.01.010
Stacchiotti S, Sommer J, Chordoma Global Consensus Group. Building a global consensus approach to chordoma: a position paper from the medical and patient community. Lancet Oncol 2015;16:e71-83. DOI: https://doi.org/10.1016/S1470-2045(14)71190-8
Fricke A, Bannasch H, Klein HF, et al. Pedicled and free flaps for intrathoracic fistula management. Eur J Cardiothorac Surg 2017;52:1211-7.
Momeni A, Kovach SJ. Important considerations in chest wall reconstruction. J Surg Oncol 2016;113:913-22. DOI: https://doi.org/10.1002/jso.24216
Simunovic F, Koulaxouzidis G, Stark GB, Torio-Padron N. Infraareolar pectoralis major myocutaneous island flap as treatment of first choice for deep sternal wound infection. J Plast Reconstr Aesthet Surg 2013;66:187-92. DOI: https://doi.org/10.1016/j.bjps.2012.09.023
Weise H, Naros A, Blumenstock G, et al. Donor site morbidity of the anterolateral thigh flap. J Craniomaxillofac Surg 2017;45:2105-8. DOI: https://doi.org/10.1016/j.jcms.2017.09.022
Wee SJ, Hsu SY, Shih PK, et al. Free extended anterolateral thigh myocutaneous flap versus combined pedicled pectoralis major-latissimus dorsi myocutaneous flaps in deep and extensive sternal wound reconstruction. Microsurgery 2022;42:810-6. DOI: https://doi.org/10.1002/micr.30949
Kimata Y, Uchiyama K, Ebihara S, et al. Anterolateral thigh flap donor-site complications and morbidity. Plast Reconstr Surg 2000;106:584-9. DOI: https://doi.org/10.1097/00006534-200009010-00009

How to Cite

Le, Uyen-Thao, Jurij Kiefer, Johannes Zeller, Ömer Senbaklavaci, Filip Simunovic, and Laurin Titze. 2023. “Repeated Chest Wall Reconstruction After Resection of a Sternal Chondroid Chordoma With Long-Term Postoperative Infection of the Reconstructive Material”. Monaldi Archives for Chest Disease, December. https://doi.org/10.4081/monaldi.2023.2728.
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