scholarly journals Costal cartilage overgrowth does not induce pectus‑like deformation in the chest wall of a rat model

2021 ◽  
Vol 23 (2) ◽  
Author(s):  
Vlad David ◽  
Maria Stanciulescu ◽  
Florin Horhat ◽  
Abhinav Sharma ◽  
Nilima Kundnani ◽  
...  
2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
R Reid ◽  
F Alakhras Aljanadi ◽  
R Beattie ◽  
A Graham

Abstract Aim We aim to present here a case of a painless anterior chest wall mass which was first noted during routine follow up post coronary artery bypass graft surgery Case presentation An 80-year-old male developed an asymptomatic slow growing pronounced swelling over the right anterior chest wall post CABG. His other past medical history includes chronic obstructive pulmonary disease, pulmonary fibrosis, ischaemic heart disease, an AICD for complete heart block, hypertension, hyperlipidaemia and osteoarthritis. A CT scan demonstrated a 10 x 12 x 6.5 cm subcutaneous lesion at the mid-line of the lower chest wall adjacent to the xiphisternum and the previous sternotomy site. On clinical examination there was a large non-tender cystic swelling with peripheral calcifications, but overlying skin was normal. Fluid was aspirated from the lesion and cytology showed a paucicellular specimen with features in keeping with seroma. Due to the progressive increase in size patient underwent surgical resection. A gelatinous bloody fluid was aspirated from the lesion and it was then resected enbloc. The tumour base appeared to arise from 6/7th costal cartilage and tumour was shaved away. The mass was confirmed histologically to be chondrosarcoma. Conclusions Given the uncommon prevalence of malignant primary chest wall tumours this case highlights the importance of high clinical suspicion even after developing post CABG.


Author(s):  
Mustafa Calik ◽  
Saniye Goknil Calik ◽  
Mustafa Cihat Avunduk ◽  
Olgun Kadir Aribas

1997 ◽  
Vol 83 (5) ◽  
pp. 1531-1537 ◽  
Author(s):  
A. De Groote ◽  
M. Wantier ◽  
G. Cheron ◽  
M. Estenne ◽  
M. Paiva

De Groote, A., M. Wantier, G. Cheron, M. Estenne, and M. Paiva. Chest wall motion during tidal breathing. J. Appl. Physiol. 83(5): 1531–1537, 1997.—We have used an automatic motion analyzer, the ELITE system, to study changes in chest wall configuration during resting breathing in five normal, seated subjects. Two television cameras were used to record the x-y-z displacements of 36 markers positioned circumferentially at the level of the third (S1) and fifth (S2) costal cartilage, corresponding to the lung-apposed rib cage; midway between the xyphoid process and the costal margin (S3), corresponding to the abdomen-apposed rib cage; and at the level of the umbilicus (S4). Recordings of different subsets of markers were made by submitting the subject to five successive rotations of 45–90°. Each recording lasted 30 s, and three-dimensional displacements of markers were analyzed with the Matlab software. At spontaneous end expiration, sections S1–3 were elliptical but S4 was more circular. Tidal changes in chest wall dimensions were consistent among subjects. For S1–2, changes during inspiration occurred primarily in the cranial and ventral directions and averaged 3–5 mm; displacements in the lateral direction were smaller (1–2 mm). On the other hand, changes at the level of S4 occurred almost exclusively in the ventral direction. In addition, both compartments showed a ventral displacement of their dorsal aspect that was not accounted for by flexion of the spine. We conclude that, in normal subjects breathing at rest in the seated posture, displacements of the rib cage during inspiration are in the cranial, lateral outward, and ventral directions but that expansion of the abdomen is confined to the ventral direction.


1990 ◽  
Vol 5 (3) ◽  
Author(s):  
Debbie Martinez ◽  
Juan Juame ◽  
Theodore Stein ◽  
Alberto Pe�a
Keyword(s):  

2016 ◽  
Vol 04 (01) ◽  
pp. 026-030 ◽  
Author(s):  
Isabel Simal ◽  
Maria García-Casillas ◽  
Julio Cerdá ◽  
Óscar Riquelme ◽  
Concepción Lorca-García ◽  
...  

AbstractReconstruction of large chest wall defects always demand surgeons of having lots of means available (both materials and resourceful) to apply a cover to chest wall defects which can range from a few centimeters to the lack of a few entire ribs. In this study, we present the case of a teenager who suffered from a complete resection of three ribs because of Ewing sarcoma dependent on the sixth rib. Given the size of the defect, a multidisciplinary approach was chosen to provide rigid and soft tissue coverage and minimal functional and aesthetic impact. Custom-made titanium implants were designed based on three-dimensional computed tomography scan reconstruction. The surgical specimen via a left lateral thoracotomy (fifth, sixth, and seventh entire ribs) was resected, leaving a defect of 35 × 12 × 6 cm. A Gore-Tex patch (W. L. Gore & Associates, Arizona, United States) was placed and, after that, the implants were anchored to the posterior fragment of the healthy ribs and to the costal cartilage anteriorly. Finally, the surgical site was covered with a latissimus dorsi flap. The postoperative course was uneventful. After 9 months of follow-up, the patient has full mobility. This case shows that the implant of custom-made ribs, combined with other techniques, is a good surgical choice for reconstruction of large chest wall defects. The implant of custom-made ribs, combined with other techniques, is a good surgical choice for reconstruction of large chest wall defects.


2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Gutiérrez Gómez C

Background: The gold standard for auricle reconstruction is currently performed with autologous costal cartilage. This process is done at about nine years of age, but it leads to thoracic deformity, reported in up to 70% of the patients using aComputed Tomography (CT) scanner. Objective: The present study aims to determine if this deformity has functional implications for the patients. Methods: 54 patients were clinically evaluated and subjected to spirometry at least one year after the surgery. Results: Four cases had moderate pulmonary restriction, while seven had mild lung restriction. A total of 20.3% of the patients showed pulmonary restriction. The new results are particularly crucial for patients with preoperative (pre-op) ventilatory disease. Conclusion: In patients with thoracic deformity diagnosed by clinic exploration, spirometric abnormalities occur in up to 20.3%; when stratifying the risk by gender, the risk is only significant for women older than 15 years old.


2015 ◽  
Vol 05 (04) ◽  
pp. 102-104
Author(s):  
Amol Amonkar ◽  
Mundayat Gopalakrishnan ◽  
AmithKiran Naik ◽  
Vishwanath S. ◽  
Saquib Sultan ◽  
...  

AbstractPrimary malignant tumours of the chest wall are uncommon. Chondrosarcoma is the most common malignancy among them, the current therapy for chondrosarcoma requires adequate surgical excision. A 50 year old male presented with a swelling on the anterior chest wall, trucut biopsy of the swelling was reported as chondrosarcoma. Thorax computed tomography (CT) revealed a large mass nd lesion with the epicentre at the costal cartilage of the right 2 rib extending beyond the chest wall and musculature and protruding internally upto the upper lobe of the right lung, features likely of chondrosarcoma.Inorder to obtain disease free surgical margins, an enst nd rd bloc resection of the tumour along with approximately 4 cms of 1 riband 2 and 3 rib and reconstruction of the anterior chest wall was performed with a 2 layer polypropylene mesh and bone cement sandwich. The post-operative course was uneventful.The chest wall reconstruction with the two layer polypropylene mesh and bone cement provided the essential rigidity and stability to the chest wall.


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