ArticlePlastic and reconstructive surgery. Global open2019
Reconstruction of Oncologic Sternectomy Defects: Lessons Learned from 60 Cases at a Single Institution.
Article in Plastic and reconstructive surgery. Global open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 6 citations in OpenAlex.
- Sternal Resections: An Attempt to Find the Ideal Reconstruction Method.Medicina (Kaunas, Lithuania) · 2025Article
- Treatment approaches and outcomes of major chest wall resections and reconstructions in patients with soft tissue and bone sarcomas: a retrospective observational study.Journal of thoracic disease · 2024Article
- Mind the gap! Interdisciplinary approach to anterior chest wall reconstruction after total sternectomy.Journal of cardiothoracic surgery · 2024Article
- Surgical management of sternal tumours-a decade of experience from a tertiary care centre in India.Indian journal of thoracic and cardiovascular surgery · 2024Article
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Oncologic sternectomy results in complex defects where preoperative planning is paramount to achieve best reconstructive outcomes. Although pectoralis major muscle flap (PMF) is the workhorse for sternal soft tissue coverage, additional flaps can be required. Our purpose is to evaluate defects in which other flaps beside PMF were required to achieve optimal reconstruction.
methodsA retrospective review of consecutive patients at our institution who underwent reconstruction after sternal tumor resection was performed. Demographics, surgical characteristics, and outcomes were evaluated. Further analysis was performed to identify defect characteristics where additional flaps to PMF were needed to complete reconstruction.
resultsIn 11 years, 60 consecutive patients were identified. Mean age was 58 (28-81) years old, with a mean follow-up of 40.6 (12-64) months. The majority were primary sternal tumors (67%) and the mean defect size was 148 cm
conclusionsReconstruction of oncologic sternal defects requires a multidisciplinary team approach. Larger thoracic defects, particularly those that involve the skin and the inferior sternum, are more likely to require additional flaps for optimal reconstruction.
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Registered trials
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