Mediastinal tracheostomy: unilateral resection of the anterior chest wall

2005 ◽  
Vol 119 (11) ◽  
pp. 903-905 ◽  
Author(s):  
T Lequeux ◽  
G Chantrain ◽  
M P Thill ◽  
S Saussez
Keyword(s):  
Chest Wall ◽  
Median Sternotomy ◽  
Anterior Chest Wall ◽  
Tracheal Resection ◽  
Medial Part ◽  
New Techniques ◽  
Muscular Flap ◽  
The Right ◽  
Gastric Pull Up ◽  
Mediastinal Tracheostomy

Since the first reliable mediastinal tracheostomy described by Grillo et al. in 1966, many new techniques have been described in order to reduce the number of complications. We here report the case of a 55-year-old man who was referred for surgery with post-radiochemotherapy recurrence of a double neoplasm of the pharyngolarynx extending to the proximal trachea and the medial part of the oesophagus. Through a median sternotomy, a pharyngolaryngoesophagectomy was performed with an extended tracheal resection. The reconstruction of the upper digestive tract was performed with a gastric pull-up. The mediastinal tracheostomy was performed with a pectoralis major muscular flap through a right unilateral resection of the manubrium, the right clavicular head and the right first and second costal cartilages. Historically, the mediastinal tracheostomy was performed through a large bilateral resection of the anterior chest wall, in order to prevent the tension on the tracheocutaneous sutures. Nowadays, with the possibility of various pedicled flaps, bilateral resection no longer seems to be necessary. This unilateral resection leads to a reduction in post-operative sequelae.

scholarly journals Anterior Chest Wall Involvement in Early Stages of Spondyloarthritis: Advanced Diagnostic Tools

2012 ◽  
Vol 39 (9) ◽  
pp. 1844-1849 ◽  
Author(s):  
ROBERTA RAMONDA ◽  
MARIAGRAZIA LORENZIN ◽  
ALESSANDRO LO NIGRO ◽  
STEFANIA VIO ◽  
PIETRO ZUCCHETTA ◽  
...  
Keyword(s):  
Chest Wall ◽  
Bone Scan ◽  
High Sensitivity ◽  
Anterior Chest Wall ◽  
Diagnostic Tools ◽  
Bone Edema ◽  
Rheumatology Unit ◽  
Bone Scans ◽  
Therapeutic Decision Making ◽  
The Right

Objective.Anterior chest wall (ACW) involvement is difficult to evaluate in patients with spondyloarthritis (SpA). Bone scan is sensitive to ACW involvement, while magnetic resonance imaging (MRI) detects early alterations in SpA. We compared the sensitivity and specificity of bone scans and MRI in assessing ACW in early SpA.Methods.Out of 110 patients with early SpA attending the Outpatient Rheumatology Unit Clinic of Padua University from January 2008 to December 2010, the 40 complaining of pain and/or tenderness [60% with psoriatic arthritis (PsA), 12.5% with ankylosing spondylitis, and 27.5% with undifferentiated SpA] underwent bone scans and MRI.Results.At clinical examination, sternocostoclavicular joints were involved in 87.5% on the right, 77.5% on the left, and 35% on the sternum. Bone scan was positive in 100% and MRI in 62.5% of these patients. Early MRI signs (bone edema, synovial hyperemia) were observed in 27.5%, swelling in 5%, capsular structure thickness in 37.5%, erosions in 15%, bone irregularities in 15%, osteoproductive processes in 12.5%, and osteophytes in 5%. A higher prevalence of Cw6, Cw7, B35, and B38 was found in 15%, 48%, 28%, and 12%, respectively, of the patients with PsA who had bone scans.Conclusion.Noted mainly in women, ACW involvement was frequent in early SpA. Both bone scans and MRI are useful in investigating ACW inflammation. Bone scans were found to have high sensitivity in revealing subclinical involvement, but a low specificity. MRI provides useful information for therapeutic decision making because it reveals the type and extent of the process. The significant associations of HLA-Cw6 and Cw7 with PsA could suggest that genetic factors influence ACW involvement.

scholarly journals TẠO HÌNH XƯƠNG ỨC VÀ THÀNH NGỰC BẰNG NẸP VÍT TRONG VẾT THƯƠNG NGỰC XUYÊN

2020 ◽  
Vol 1 ◽  
pp. 56-59
Author(s):  
Dr. Hoang Quoc Toan ◽  
Dr. Hoang Anh Tuan
Keyword(s):  
Chest Wall ◽  
Vital Signs ◽  
Anterior Chest Wall ◽  
Complex Problem ◽  
Breath Sounds ◽  
Mediastinal Infection ◽  
Chest Wound ◽  
Close Range ◽  
Pectoralis Muscles ◽  
The Right

chest wall was destroyed in the penetrating chest wound is dificult problems for a variety of conditions and has been a complex problem in the past due to intraoperative technical difficulties, surgical complications, and respiratory failure. The surgical technique of chest wall stabilization for fail chest and reconstruction with a screws plate as a part of destroyed chest wall and reconstruction is described here in this article.Cas reporte A 54-year-old male was shot in the left thorax , fired from a AK bullet at close range (plus than 3 m). He arrived to our hopital approximately 8 hours after the injury. He had absent breath sounds on the left side, rapid respiratory rate 35 L/P,upper anterior fail chets(paradoxical motion of segments of the chest wall) and his vital signs were stable (pulse was 130, blood pressure was 140/90 mmHg. Physical examination revealed a single skin laceration (plus than 2. cm) with less surrounding contusion at the left anterier-axillary line; 3th intercostal space. The admission chest radiograph revealed a all left hemothorax(pleural effusion). chest X-ray demonstrated a foreign body at the right clavicle bone with the form of an bulett (Figure 1). A leftsided thoracostomy tube drained blood, the patient underwent a traumatic thoracotomie.the bullet and ribs,1/2 anterior upper sternum, muscles on the destroyed anterior upper chest wall were removed.wide anterior chest wall defects on only shaped by steel wires and screws plate and grand pectoralis muscles to the chest wall fix (stabilisation), avoid reversal respiratory and mediastinal infection.. The patient had an uneventful hospital stay and was discharged home 25 days later.

scholarly journals Rectus sternalis muscle - a rare anatomical variant

2013 ◽  
Vol 02 (01) ◽  
pp. 41-43
Author(s):  
Veena Vidya Shankar ◽  
Rahe Rajan ◽  
Komala Nanjundaiah ◽  
Sheshgiri Chowdapurkar
Keyword(s):  
Chest Wall ◽  
Surgical Procedures ◽  
Anterior Chest Wall ◽  
Breast Mass ◽  
Anatomical Variant ◽  
Medial Side ◽  
Male Cadaver ◽  
The Right ◽  
Sternalis Muscle ◽  
Diagnostic Investigations

AbstractThe Rectus Sternalis muscle is an unusual muscle that is observed on the anterior chest wall. The origin of this muscle is a highly debated variation of the pectoral musculature. We report a case of an abnormal vertically placed muscle - The rectus sternalis muscle, on the right medial side of the anterior chest wall of a male cadaver aged about 80 years. The abnormal presence of this muscle can be misdiagnosed as a breast mass on a routine mammogram. The advantage is its role in reconstruction flap surgeries. Hence knowledge of such an anatomical variant should be kept in mind during diagnostic investigations and surgical procedures.

An HCS approach was started with a 4th intercostal thoracotomy, followed by a median sternotomy, then the flap of the anterior chest wall was retracted

ASVIDE ◽  
2018 ◽  
Vol 5 ◽  
pp. 933-933
Author(s):  
Ayako Fujiwara ◽  
Soichiro Funaki ◽  
Naoko Ose ◽  
Takashi Kanou ◽  
Ryu Kanzaki ◽  
...  
Keyword(s):  
Chest Wall ◽  
Median Sternotomy ◽  
Anterior Chest Wall

Contained rupture of right ventricular outflow tract after Rastelli-type operation

2020 ◽  
Vol 30 (1) ◽  
pp. 134-135
Author(s):  
Takuji Watanabe ◽  
Kyoichi Nishigaki ◽  
Yoichi Kawahira
Keyword(s):  
Right Ventricle ◽  
Right Ventricular ◽  
Chest Wall ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Anterior Chest Wall ◽  
Outflow Tract ◽  
Musculocutaneous Flap ◽  
Significant Case ◽  
The Right

AbstractThis report describes a 3-year-old infant with post-operative mediastinitis complicated by a contained rupture of the right ventricle. A contained rupture is recognised as the huge pulsating prominence of the anterior chest wall. CT confirmed blood communication between the right ventricular outflow tract and the cavity surrounded by the pectoral major musculocutaneous flap. This is a significant case in which severe adhesion between the right ventricle and the musculocutaneous flap could maintain her stable haemodynamics with a pulsating prominence.

scholarly journals Three-Dimensional Simulation for Breast Augmentation of Female Asymmetric Pectus Excavatum: A Case Report

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Yoshichika Yasunaga ◽  
Aya Tsuchiya ◽  
Yuta Nakajima ◽  
Shoji Kondoh ◽  
Masahiko Noguchi ◽  
...  
Keyword(s):  
Chest Wall ◽  
Breast Augmentation ◽  
Pectus Excavatum ◽  
Three Dimensional ◽  
Anterior Chest Wall ◽  
Nuss Procedure ◽  
Breast Asymmetry ◽  
Level Of Evidence ◽  
Dimensional Simulation ◽  
The Right

Abstract Breast augmentation for women with asymmetric pectus excavatum (PE) has a characteristic problem in that surgeons need to select implants while considering the left-right difference in breast volume, contour, and position. We herein report a 33-year-old woman with severe asymmetric PE who presented with residual breast asymmetry after chest wall correction using the Nuss procedure. Her right breast appeared hypoplastic and the right anterior chest wall remained depressed. Augmentation of the right breast with a silicone implant was performed, selecting the inserted implant preoperatively with the assistance of three-dimensional (3D) simulation. The breast asymmetry and anterior chest wall depression were improved to a natural appearance. Three-dimensional simulation represents an advantageous way to preoperatively select optimal implants for breast augmentation in asymmetric PE women with breast asymmetry. Level of Evidence: 5

scholarly journals Radiationinduced sarcoma in the right anterior chest wall: A case report

2005 ◽  
Vol 19 (4) ◽  
pp. 590-594 ◽  
Author(s):  
Motohiro Nishimura ◽  
Junichi Shimada ◽  
Daishiro Kato ◽  
Kazuhiro Ito ◽  
Masashi Yanada ◽  
...  
Keyword(s):  
Case Report ◽  
Chest Wall ◽  
Anterior Chest Wall ◽  
The Right

scholarly journals Sternalis Muscle: An Unexpected Finding during Mastectomy

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Prakash K. Sasmal ◽  
Susanta Meher ◽  
Tushar S. Mishra ◽  
N. Deep ◽  
Prabhas R. Tripathy ◽  
...  
Keyword(s):  
Chest Wall ◽  
Clinical Significance ◽  
Anterior Chest Wall ◽  
Clinical Implications ◽  
Unexpected Finding ◽  
Review Of The Literature ◽  
Anomalous Muscle ◽  
The Right ◽  
Anatomical Function ◽  
Sternalis Muscle

Sternalis muscle also called rectus sternalis, rectus thoracis, or episternalis is an anomalous muscle of the anterior chest wall with unknown anatomical function. It is regularly observed in lower animal but infrequently in humans. Presence of this muscle can create confusion with tumours of the anterior chest wall during routine mammography. Although less is known about its origin and innervations, knowledge about this muscle can have many clinical implications. A case of unilateral sternalis muscle detected during mastectomy, in a female with carcinoma of the right breast, is being reported with a brief review of the literature and highlighting its clinical significance.

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