Stable and Functional Anatomical Chest Wall Reconstruction Using a Novel Prosthetic Construct

Abstract

Resection of neoplastic chest wall lesions is associated with high surgical morbidity and can result in complete full thickness defects. Defects can be challenging to reconstruct and require a multidisciplinary surgical approach. The goals of chest wall resection are to optimize oncological outcomes while also minimizing functional disturbance. We report a novel technique, using a Titanium and Polymethyl-methacrylate (PMMA) construct for an antero–lateral chest wall reconstruction following resection of a locally recurrent malignant Phyllodes tumour. This approach to reconstruction provides stability, allows chest wall excursion and minimizes post-operative pain.