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Congenital sternal cleft
G Biswas1, N K Khandelwal, N K Venkatramu
1Department of Plastic Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
British Journal of Plastic Surgery
|March 20, 2001
Insights
A rare congenital sternal cleft was successfully reconstructed in a 7-year-old boy. The defect was repaired using a split iliac bone graft and a pectoralis major flap.
Area of Science:
- Congenital anomalies
- Thoracic surgery
- Pediatric surgery
Background:
- Sternal clefts are rare congenital malformations.
- Surgical reconstruction is necessary for sternal defects.
- This case highlights a specific surgical approach for sternal cleft repair.
Observation:
- A 7-year-old boy presented with a sternal cleft.
- The sternal defect required surgical intervention.
- A combined bone graft and flap technique was considered.
Findings:
- The sternal cleft was successfully reconstructed.
- A split iliac bone graft was utilized for bony defect coverage.
- A pectoralis major flap provided soft tissue coverage over the graft.
Implications:
- This surgical technique offers a viable option for sternal cleft repair.
- The combined graft and flap method ensures structural integrity and adequate coverage.
- Further studies can explore long-term outcomes of this reconstructive approach.
Abstract:
A cleft of the sternum is a rare congenital anomaly. We present a case of a sternal cleft in a 7-year-old boy. A split iliac bone graft covered with the sternocostal portion of a pectoralis major flap was used to reconstruct the defect.