PURPOSE: We present a surgical technique for chest wall reconstruction using custom-designed @entity702 implants developed for two female @entity1 to provide both chest wall symmetry and adequate stability for staged breast reconstruction. METHODS: A retrospective review was performed for two adolescent female @entity1 with large chest wall defects who underwent the described technique. The etiology of the @entity5837 was secondary to @entity13746 in one @entity1 , and secondary to surgical resection of @entity421 in the other @entity1 . For each @entity1 , a fine-cut computed tomography scan was obtained to assist with implant design. After fabrication of the prosthesis, reconstruction was performed though a curvilinear thoracotomy approach with attachment of the implant to the adjacent ribs and sternum. Wound closure was obtained with use of synthetic graft material, local soft tissue procedures, and flap procedures as necessary. RESULTS: The two @entity1 were followed post-operatively for 35 and 38  months, respectively. No intra-operative or post-operative complications were identified. Mild @entity1635 that had developed in the @entity1 following chest wall resection for @entity421 did not demonstrate any further progression following reconstruction. CONCLUSIONS: We conclude that this technique was successful at providing a stable chest wall reconstruction with satisfactory cosmetic results in our @entity1 .

A technique for pediatric chest wall reconstruction using custom-designed XXXX implants: description of technique and report of two cases.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1635 :: ('MESH:D012600', 'Disease') :: ['scoliosis'] @entity5837 :: ('MESH:D056586', 'Disease') :: ['chest wall deficiency'] @entity421 :: ('MESH:D012516', 'Disease') :: ['osteosarcoma'] @entity702 :: ('MESH:D014025', 'Chemical') :: ['titanium'] @entity13746 :: ('MESH:D011045', 'Disease') :: ["Poland's syndrome"]
@entity702 :: (MESH:D014025,Chemical) :: ['titanium']
