Functional assessment of chest wall integrity after methylmethacrylate reconstruction.

Détails

ID Serval
serval:BIB_2FC1980D5238
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Functional assessment of chest wall integrity after methylmethacrylate reconstruction.
Périodique
Annals of Thoracic Surgery
Auteur⸱e⸱s
Lardinois D., Müller M., Furrer M., Banic A., Gugger M., Krueger T., Ris H.B.
ISSN
0003-4975
Statut éditorial
Publié
Date de publication
2000
Peer-reviewed
Oui
Volume
69
Numéro
3
Pages
919-923
Langue
anglais
Notes
Publication types: Clinical Trial ; Journal Article
Résumé
BACKGROUND: All patients with extensive resection of the anterolateral chest wall and the sternum followed by reconstruction with methylmethacrylate substitutes were assessed prospectively 6 months after the operation to delineate chest wall integrity with pulmonary function and cine-magnetic resonance imaging. METHODS: Twenty-six patients underwent chest wall reconstruction by use of methylmethacrylate between 1994 and 1998 due to primary tumors in 35%, metastases in 27%, T3 lung cancer in 19%, and debridement for radionecrosis and osteomyelitis in 19% of patients. Three to eight ribs were resected and additional sternum resection was performed in 39% of patients. RESULTS: There was no 30-day mortality. All patients were extubated after the operation without need for reintubation. Prosthesis dislocation occurred in 1 patient and infection in 2 patients during follow-up. Nineteen patients (73%) suffered no restrictions of daily activities. Clinical examination revealed normal shoulder girdle function in 77% of patients. There was no significant difference between preoperative and postoperative FEV1 (forced expiratory volume in 1 second) measurements in patients with lobectomy or wedge resections. Cinemagnetic resonance imaging revealed concordant chest wall movements during respiration in 92% of patients without paradoxical movements or implant dislocations being observed. CONCLUSIONS: Large defects of the anterolateral chest wall and sternum can be reconstructed efficiently with methylmethacrylate substitutes with minimal morbidity and excellent cosmetic and functional outcome.
Mots-clé
Adult, Aged, Female, Follow-Up Studies, Humans, Male, Methylmethacrylate, Middle Aged, Prospective Studies, Prostheses and Implants, Reconstructive Surgical Procedures/methods, Recovery of Function, Thoracic Surgical Procedures/methods
Pubmed
Web of science
Création de la notice
29/01/2008 13:00
Dernière modification de la notice
20/08/2019 13:14
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