Surgical Planning, Simulation, and Prosthesis Customization for Complex Chest Wall Malformations.

Martinez, Jorge; Toselli, Luzia; Aleixandre, Cristina Gimenez; Bellia-Munzon, Gaston; Sanjurjo, Daniela; Peirano, Maximiliano Nazar; Vallee, Maxroxia; Martinez-Ferro, Marcelo · Ann Thorac Surg · 2021

other · Level V

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Abstract

Despite the emergent application of 3-dimensional technology for thoracic reconstructions, reports regarding its use for the resolution of the heterogeneous subgroup of complex chest wall malformations are lacking. We aim to report a novel, standardized process of personalized repair of complex chest wall malformations comprising multidisciplinary, comprehensive surgical planning; surgical simulation on a 3-dimensionally printed scale model of the area of interest; manufacturing of customized prostheses; and surgical repair according to plan. We propose this therapeutic strategy for the resolution of such a wide variety of chest wall deformities to reduce improvisation and enhance outcomes.

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