Primary repair of a large incomplete sternal cleft in an asymptomatic infant with Prolene mesh

2008 ◽  
Vol 43 (10) ◽  
pp. e39-e41 ◽  
Author(s):  
Eyad B. Baqain ◽  
Isam M. Lataifeh ◽  
Wadah M. Khriesat ◽  
Nayef M. Fraiwan ◽  
Mohamed A. Armooti
Keyword(s):  
Primary Repair ◽  
Prolene Mesh ◽  
Sternal Cleft ◽  
Asymptomatic Infant

scholarly journals Primary repair of sternal cleft with a double osteochondroplasty flap

2013 ◽  
Vol 17 (6) ◽  
pp. 1036-1037 ◽  
Author(s):  
Quentin Ballouhey ◽  
Mateo Armendariz ◽  
Virginie Vacquerie ◽  
Pierre Sylvain Marcheix ◽  
Daniel Berenguer ◽  
...  
Keyword(s):  
Primary Repair ◽  
Sternal Cleft

scholarly journals Primary Closure of a Subtotal Sternal Cleft in a 7-Day-Old Neonate

2021 ◽  
pp. 60-63
Author(s):  
R. Sekelyk ◽  
D. Kozhokar ◽  
I. Yusifli ◽  
R. Tammo ◽  
I. Yemets
Keyword(s):  
Primary Repair ◽  
Incomplete Fusion ◽  
Direct Closure ◽  
Wall Defect ◽  
Sternal Cleft ◽  
Cardiac Compression ◽  
Rare Congenital Abnormality ◽  
Chest X Ray ◽  
Male Neonate ◽  
Significant Distance

Sternal cleft is a rare congenital abnormality that results from incomplete fusion of the two lateral mesodermal sternal bars. It is generally accepted that primary repair in the neonatal period is the best treatment option. However, significant distance between the sternal bars can be challenging because of cardiac compression. The aim. We report a case of a 7-day-old neonate with a subtotal sternal cleft successfully managed by direct closure. Material and methods. A full-term male neonate weighing 3 kg was referred to our clinic for evaluation of a chest wall defect. The chest X-ray and computed tomography were performed to evaluate the malformation. Results. Surgery was performed at the age of 7 days. Postoperative period was uneventful. The patient was discharged on the postoperative day 21. The first postoperative checkup after 3 months showed satisfactory cosmetic results and normal respiratory movements. Conclusion. Despite the significant diastasis between sternal bars, primary direct closure of the sternal cleft can be safely performed in neonates.

Primary repair of complete sternal cleft associated with absent anterior pericardium

2017 ◽  
Vol 32 (5) ◽  
pp. 316-317
Author(s):  
Amr A. Arafat ◽  
Ayman A. Sallam ◽  
Amr A. Abdelwahab ◽  
Abdel-Hady M. Taha
Keyword(s):  
Primary Repair ◽  
Sternal Cleft

Primary repair of complete sternal cleft with pectoralis major muscle flaps

1996 ◽  
Vol 61 (3) ◽  
pp. 983-984 ◽  
Author(s):  
Brett J. Snyder ◽  
Robert C. Robbins ◽  
Douglas Ramos
Keyword(s):  
Primary Repair ◽  
Pectoralis Major Muscle ◽  
Pectoralis Major ◽  
Muscle Flaps ◽  
Sternal Cleft

scholarly journals Primary closure of superior partial sternal cleft in a 2-month-old girl: case report

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Halil Ibrahim Tanriverdi ◽  
Fulya Doğaneroğlu ◽  
Abdülkadir Genç ◽  
Ömer Yılmaz
Keyword(s):  
Case Report ◽  
Primary Repair ◽  
Three Dimensional ◽  
Early Period ◽  
Ventilator Support ◽  
Case Presentation ◽  
Sternal Cleft ◽  
Cardiac Compression ◽  
Rare Malformation ◽  
Respiratory Movements

Abstract Background Sternal cleft is a quite rare malformation. It is seen 1 out of 100,000 live births and makes up less than 1% of all chest wall deformities, seen more often among females. The deformity can be partial or complete. Partial deformities can be superior or inferior. It is generally diagnosed at birth when paradoxical respiratory movements are seen. Patients are often asymptomatic when they are born and generally other abnormalities accompany. As sternal clefts can be repaired primarily at early ages, they are repaired using autologous or synthetic grafts in the following years. We present a 2-month-old girl with superior partial sternal cleft repaired primary and accompanying hemangiomas in this case report. Case presentation A girl who was born in another center and had a sternal cleft, who did not have any problems in the early period, was admitted to our hospital with respiratory distress at the age of 43 days. The patient was monitored with mechanical ventilator support, and there were hemangiomas around his left ear and lips. There were paradoxical respiratory movements in front of the heart, in the upper midline of the chest. Three-dimensional computed tomography showed that the upper part of the sternum did not develop, and there were hypoplasic sternal bars on both sides. It was evaluated as superior partial sternal cleft, and surgery was planned. In the operation, the sternal bars were released from the pericardium and pleura. The periosteum in the medial of both sternal bars was then released and connected in the midline, in front of the pericardium. Conclusion Although neonates with a sternal cleft are asymptomatic at birth, respiratory symptoms may develop in later periods. In addition, because the structures are more flexible in the neonatal period, the primary repair of the cleft is easier and the risk of cardiac compression is lower. In our case, sternal bars could be approached primary, and no chondral grafts, patches, or steel wires were required.

scholarly journals STERNAL CLEFT AND SEGMENTAL FACIAL HEMANGIOMAS IN CHILDREN WITH PHACES SYNDROME: EFFECTIVENESS AND SAFETY OF CONSERVATIVE MANAGEMENT AND SURGICAL CORRECTION

2020 ◽  
Vol 73 (6) ◽  
pp. 1267-1271
Author(s):  
Iryna M. Benzar ◽  
Anatolii F. Levytskyi ◽  
Vlasii M. Pylypko
Keyword(s):  
Risk Factors ◽  
Primary Repair ◽  
Cardiovascular Complications ◽  
Partial Resection ◽  
Surgical Correction ◽  
Phaces Syndrome ◽  
Sternal Cleft ◽  
Hemorrhagic Complications ◽  
Propranolol Treatment ◽  
Propranolol Therapy

The aim is to determine the risk factors of sternal cleft and segmental facial hemangiomas association in children with PHACES syndrome. Materials and methods: 32 inpatient children with segmental facial hemangiomas and 19 children with sternal cleft were investigated concerning the Metry criteria of PHACES syndrome. Results: In 6 children PHACE syndrome was diagnosed. Patients with bilateral S3 hemangiomas (50%, 3/6) had airway involvement with respiratory disorders. Conservative treatment was propranolol monotherapy (66.7%, 4/6), or combination of prednisolone and propranolol (33.3%, 2/6). Duration of propranolol treatment in children with PHACES syndrome was on an average 24.25 � 4.49 months exceeding the duration of propranolol therapy in children with isolated soft tissue lesions (p<0.05). Primary surgical treatment of sternal cleft performed in children aged 2 (n=3) and 4 (n=1) months. The later period of surgery associated with the localization of hemangioma in the surgery region. Primary repair of sternal cleft was completed successfully in all cases; partial resection of the thymus made closure easier. Conclusions: Primary surgical correction of a sternal cleft performed in young children provides good results. Partial resection of the thymus prevents respiratory and cardiovascular complications. Preoperative propranolol treatment averts the hemorrhagic complications in children with hemangiomas in surgical region.

scholarly journals A case report on traumatic diaphragmatic injury repaired with prolene mesh

2017 ◽  
Vol 4 (2) ◽  
pp. 806
Author(s):  
Dhruva Sharma ◽  
Anil Sharma ◽  
Parth Vaghela ◽  
Sunil Dixit
Keyword(s):  
Postoperative Period ◽  
Road Traffic ◽  
Primary Repair ◽  
Abdominal Cavity ◽  
Diaphragmatic Injury ◽  
Chest Drain ◽  
Left Hemithorax ◽  
Prolene Mesh ◽  
Left Chest ◽  
Contrast Enhanced Ct

Penetrating and blunt trauma rarely results into traumatic diaphragmatic hernia which oftenly undergo unrecognized. A 25 year old male admitted with chief complaints of difficulty in breathing since road traffic accident. Chest X-ray of the patient showed collapsed lung along with contents of abdomen in left hemithorax. Patient was stablised and contrast enhanced CT scan of chest was done which showed abdominal contents in left hemithorax with diaphragmatic injury on left side with no spillage of contents in thoracic cavity. Left posterolateral thoracotomy was done through 6th intercostal space. The abdominal contents were reduced back into the abdominal cavity with care and a circumferential tear of diaphragm was found with complete avulsion of diaphragm from chest wall anteriorly and laterally. Repair was done with prolene mesh as primary repair was not possible due to avulsion of margins from anterior and lateral walls. One left chest-drain was put which was removed on 3rd post-operative day. The patient was put on antibiotics in postoperative period and was started orally from 4th post-operative day after appearance of bowel sounds. The patient showed good recovery in postoperative period and was discharged on 8th postoperative day. Prompt diagnosis and surgical management is mandatory to avoid complications.

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