Abstract
The principles for reconstruction of inferior sternal clefts include: (1) rigid protection of the heart without compression, (2) preferable use of autologous tissue, (3) dynamic reconstruction of the thoracic cage, (4) uncompromised growth, and (5) minimal donor site morbidity.
The options for reconstruction of congenital sternal defects comprise of the use of autologous tissue or alloplastic materials. Autogenous tissue is recommended due to a relatively low risk of infection and extrusion, and its ability to remodel according to patient growth, as opposed to alloplastic materials. However, autologous reconstruction may incur donor site morbidity and is technically more difficult.
Reconstruction using bilateral sternal bar turnover flaps is a simple technique that provides a rigid autologous reconstruction without significant donor site morbidity.
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References
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Chia, HL., Yeow, V.KL. (2017). Bilateral Sternal Bar Turnover Flaps for Reconstruction of Inferior Sternal Cleft. In: Saxena, A. (eds) Chest Wall Deformities. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53088-7_63
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DOI: https://doi.org/10.1007/978-3-662-53088-7_63
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