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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

374
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
374

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Related Experiment Video

Updated: Nov 22, 2025

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Complete Sternal Cleft Repair.

Ankita Harijee1, Sundeep Vijayaraghavan1, Arjun Reddy Marathi1

  • 1Department of Plastic & Reconstructive Surgery, Amrita Institute of Medical Sciences & Research Centre, Kochi, India.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
|January 6, 2021
PubMed
Summary

This study presents a novel surgical technique for complete sternal cleft (SC) repair in an infant. The innovative approach utilizes multiple tissue grafts and 3D printing for successful chest wall reconstruction.

Keywords:
3D printingchest wall reconstructionsternal cleft

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Area of Science:

  • Congenital Malformations
  • Pediatric Surgery
  • Thoracic Reconstruction

Background:

  • Sternal cleft (SC) is a rare congenital anomaly with variable presentation.
  • Complete SC requires complex surgical intervention for chest wall reconstruction.

Observation:

  • A case of complete sternal cleft in a 9-month-old infant is detailed.
  • The defect size and patient age influenced the surgical strategy.

Findings:

  • A multi-component surgical technique was employed, including deep cervical fascial extension, anterior perichondrial flaps, and rib grafting.
  • The reconstruction incorporated the xiphoid process and was covered by bilateral pectoralis major muscle flaps.
  • Three-dimensional (3D) printing facilitated preoperative planning for this complex case.

Implications:

  • This surgical approach offers a viable solution for complete sternal cleft repair in pediatric patients.
  • The described technique highlights the importance of tailored reconstruction strategies based on defect characteristics.
  • Advanced planning tools like 3D printing can enhance outcomes in congenital chest wall deformities.