[Sternal cleft: repair during the neonatal period]
M Beurdeley1, T Gauthier, A Bedu
1Service de chirurgie pédiatrique, hôpital mère-enfant, CHU Dupuytren, 8, avenue Dominique-Larrey, 87042 Limoges, France. leelou.ma@voila.fr
Summary
Sternal cleft, a rare congenital defect, can be surgically repaired in newborns. Early repair offers advantages due to the chest wall
Area of Science:
- Pediatric Surgery
- Congenital Abnormalities
- Thoracic Surgery
Background:
- Sternal cleft is a rare congenital abnormality.
- This condition involves incomplete fusion of the sternum.
- Associated median raphe can occur.
Purpose of the Study:
- To report a neonatal case of sternal cleft with median raphe.
- To review the benefits of surgical intervention in the neonatal period.
- To highlight optimal timing for surgical repair.
Main Methods:
- Case report of a neonate with sternal cleft and median raphe.
- Follow-up of the patient for 3 years.
- Literature review on surgical management of sternal cleft.
Main Results:
- Successful surgical repair of sternal cleft in a neonate.
- Demonstrated feasibility and positive outcomes of early intervention.
- Patient showed good recovery over a 3-year follow-up period.
Conclusions:
- Neonatal surgical repair of sternal cleft is advantageous.
- Maximal chest wall flexibility in neonates facilitates repair.
- Minimal compression of underlying structures is achieved with early surgery.
Related Concept Videos
01:17The Thoracic Cage: Sternum
The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid process.
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid process.
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Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History: