Reconstruction of the anterior chest wall with a 3-dimensionally printed biodynamic prosthesis
Autor: | Luis López Rivero, Francisco Hernández Escobar, Jose Ramón Cano, David Pérez Alonso |
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Rok vydání: | 2018 |
Předmět: |
Adult
Reoperation Pulmonary and Respiratory Medicine Sternum medicine.medical_specialty Anterior chest wall medicine.medical_treatment Treatment outcome Biocompatible Materials 030204 cardiovascular system & hematology Prosthesis Chest wall reconstruction Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine Recurrence Image Processing Computer-Assisted medicine Humans Thoracic Wall Surgical treatment business.industry Fibrous Dysplasia of Bone Prostheses and Implants Plastic Surgery Procedures Surgery RESPIRATORY MOVEMENTS Fluorocarbon Polymers Treatment Outcome 030228 respiratory system Normal respiratory function Printing Three-Dimensional Female Radiology Cardiology and Cardiovascular Medicine business |
Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 155:e59-e60 |
ISSN: | 0022-5223 |
DOI: | 10.1016/j.jtcvs.2017.08.118 |
Popis: | Chest wall reconstructions, mainly secondary to surgical treatment of oncologic disease or trauma, still represent a challenge for chest surgeons. No consensus exists on the materials or prostheses to be used. Thus, a wide variety of methods and materials are available for chest wall reconstruction and the choice generally depends on the location and size of the defect to be covered. Up to this day, most prostheses provide the chest wall with the necessary hardness and stability to protect inner organs; however, they restrict normal respiratory movements because of their rigidity. Moreover, there is the problem of finding good anchor points, since it is the patient who has to adapt to the prosthesis and exact adjustment is usually not possible. Designing personalized prostheses with three-dimensional technology may be a solution to this problem. Up to our knowledge, here we present the first case of complete reconstruction of the anterior chest wall with a patient-tailored flexible prosthesis designed with 3D technology, which did not restrict respiratory movements and allowed for normal respiratory function. |
Databáze: | OpenAIRE |
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