Superior sternal cleft: construction with a titanium plate

Plastic and Reconstructive Surgery
A HazariA M Hayes

Abstract

Sternal cleft is a rare congenital deformity, with a superior cleft being the most common. Although sternal clefting is known to be associated with vascular dysplasia, to our knowledge, we report the first case of superior sternal cleft with cervicofacial hemangiomata and cardiac defects in the absence of true ectopia cordis in a neonate. Early surgery in all cases of sternal clefting is advocated, preferably within the first 4 weeks of life. However, if the child is unfit for operation at this stage, repair should be carried out as soon as the child is stable and fit. The method of choice is primary approximation with the intraoperative precaution of confirming cardiorespiratory stability. We suggest reinforcing the primary approximation with a titanium plate to achieve rigid internal fixation and to reduce the tension at the approximation site. Because titanium osseointegrates well, this procedure results in a solid bony sternum.

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Citations

Jul 9, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Michele TorreVincenzo Jasonni
Jun 28, 2008·Seminars in Pediatric Surgery·Scott A Engum
Jan 29, 2014·The Journal of Craniofacial Surgery·Ramesh K Sharma, Sandeep S Rana
Jul 11, 2001·The Journal of Pediatrics·D W MetryI J Frieden
Jan 21, 2021·Annals of Plastic Surgery·Katharine M HinchcliffGranger B Wong
Feb 22, 2003·Journal of Pediatric Surgery·Eduardo AcastelloAlfredo Peredo

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