| Revascularization of turnover sternum: A definitive treatment for intractable funnel chest. | |
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MedLine Citation:
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PMID: 10469446 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Twelve intractable funnel chests in young adults were treated with revascularization of the turnover sternum. The sternum and costal composite tissue were resected at the outskirt of the depressed area. Special attention was paid to the dissection of the vascular pedicle at both sides of the internal mammary vessels. The recipient vessels at one side were left long, so were the donor vessels at the other side. A segment of the rib at the exit of the recipient internal mammary vessels had to be removed to accommodate the vessels and to facilitate vascular anastomosis. Vascular anastomosis was accomplished with loupes (Keeler, sixfold magnification) in five patients because the direction of the vessels is vertically oriented. In four cases, artery and vein grafts were taken from the other side of the internal mammary vessels not bound for vascular anastomosis for length discrepancy of the vessels, while the remaining cases had direct vascular anastomosis without vascular grafting. Revascularization of the turnover sternum was performed successfully without vascular compromise. The patients all recovered well with much improved physical condition. Only one patient sustained spontaneous pneumothorax 1 month after the operation. Postoperative three-dimensional computed tomographic (CT) scan revealed increment of thoracic cage volume for 9-17%. Follow-up CT scan 2 years later revealed even more improved thoracic cage expansion. |
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Authors:
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Y B Tang Chen; J S Chen; Y C Lee; K F Huang; H C Chen |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Microsurgery Volume: 19 ISSN: 0738-1085 ISO Abbreviation: Microsurgery Publication Date: 1999 |
Date Detail:
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Created Date: 1999-10-14 Completed Date: 1999-10-14 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8309230 Medline TA: Microsurgery Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 296-302 Citation Subset: IM |
Copyright Information:
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Copyright 1999 Wiley-Liss, Inc. |
Affiliation:
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Division of Plastic and Reconstructive Surgery, National Taiwan University Hospital, Taipei, Taiwan, Republic of China. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Female Funnel Chest / surgery* Humans Male Mammary Arteries / transplantation* Sternum / blood supply*, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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