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Superior sternal cleft: construction with a titanium plate

A Hazari1, N S Mercer, A Pawade

  • 1Frenchay Hospital, Bristol, United Kingdom.

Plastic and Reconstructive Surgery
|January 15, 1998
PubMed
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This study details a rare superior sternal cleft case in a neonate, associated with cervicofacial hemangiomata and cardiac defects. Early surgical repair using titanium plates is recommended for optimal outcomes in sternal cleft deformities.

Area of Science:

  • Pediatric Surgery
  • Congenital Malformations
  • Cardiovascular Surgery

Background:

  • Sternal cleft is a rare congenital deformity, with superior sternal cleft being the most common type.
  • Sternal clefting is often associated with vascular dysplasia, but specific co-occurrences can be rare.

Observation:

  • This report presents the first documented case of a superior sternal cleft in a neonate with cervicofacial hemangiomata and cardiac defects.
  • The neonate did not exhibit true ectopia cordis, distinguishing this case from others with severe sternal defects.

Findings:

  • Early surgical intervention for sternal clefting, ideally within the first four weeks of life, is advocated.
  • The recommended surgical approach involves primary approximation, reinforced with a titanium plate for rigid internal fixation and reduced tension.

Related Experiment Videos

  • Titanium plates promote osseointegration, leading to a stable, solid bony sternum post-repair.

    • Implications:

    • This case highlights a unique association of congenital anomalies, emphasizing the need for comprehensive evaluation in neonates with sternal clefts.
    • The proposed surgical technique using titanium plates offers a robust solution for sternal approximation, improving long-term stability.
    • Timely surgical management is crucial for improving outcomes in neonates with sternal cleft deformities and associated conditions.