Personalized 3D printed implants in the treatment of extensive chest wall tumors: clinical cases
3D printing has opened new opportunities for the development of personalized systems for prosthetics of extensive chest wall defects after radical surgical interventions for malignant tumors. However, risk factors for an adverse outcome of such operations have not yet been identified.Clinical cases....
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
2023-07-01
|
| Series: | Сеченовский вестник |
| Subjects: | |
| Online Access: | https://www.sechenovmedj.com/jour/article/view/941 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849248469708963840 |
|---|---|
| author | A. K. Valiev P. V. Kononets T. K. Kharatishvili A. G. Salkov N. S. Petrochenko A. R. Shin A. V. Sytov O. Efimenko |
| author_facet | A. K. Valiev P. V. Kononets T. K. Kharatishvili A. G. Salkov N. S. Petrochenko A. R. Shin A. V. Sytov O. Efimenko |
| author_sort | A. K. Valiev |
| collection | DOAJ |
| description | 3D printing has opened new opportunities for the development of personalized systems for prosthetics of extensive chest wall defects after radical surgical interventions for malignant tumors. However, risk factors for an adverse outcome of such operations have not yet been identified.Clinical cases. A 65-year-old man with primary chondrosarcoma of the V rib, underwent surgical resection of three ribs, plasty with local tissues, and an individual 3D printed titanium implant was installed on the sternum and IV-VI ribs. Follow up for 26 months showed no complaints or signs of recurrence. A 52-year-old woman with radiation-induced soft tissue sarcoma of the chest wall, that developed 9 years after radiation for breast cancer, underwent resection of four ribs and pectoral muscles and a 3D printed titanium implant was installed on the sternum and II-V ribs. The operation was complicated by the marginal necrosis of the soft tissue flap and infection of the endoprosthesis, which required removal of the metal structure and reconstruction using TRAM flap. After 9 months, a local recurrence of the tumor was diagnosed. Discussion. As a factor of a positive outcome in a man should be noted a thick layer of subcutaneous fat with muscle tissue, due to which plastic surgery was performed, covering the defect without tension. An extensive resection of the pectoral muscles in a woman created a tissue deficit. Another factor of an unfavorable outcome can be considered the radio-induced nature of the sarcoma. Further research is needed to improve the strategy for selecting patients with malignant tumors of the chest wall for prosthetics. |
| format | Article |
| id | doaj-art-62d2f2b2fa4a443f86da4c677ecfbf33 |
| institution | Kabale University |
| issn | 2218-7332 2658-3348 |
| language | Russian |
| publishDate | 2023-07-01 |
| publisher | Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University) |
| record_format | Article |
| series | Сеченовский вестник |
| spelling | doaj-art-62d2f2b2fa4a443f86da4c677ecfbf332025-08-20T03:57:51ZrusFederal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)Сеченовский вестник2218-73322658-33482023-07-01142576610.47093/2218-7332.2023.14.2.57-66573Personalized 3D printed implants in the treatment of extensive chest wall tumors: clinical casesA. K. Valiev0P. V. Kononets1T. K. Kharatishvili2A. G. Salkov3N. S. Petrochenko4A. R. Shin5A. V. Sytov6O. Efimenko7N.N. Blokhin National Medical Research Center of OncologyN.N. Blokhin National Medical Research Center of OncologyN.N. Blokhin National Medical Research Center of OncologyN.N. Blokhin National Medical Research Center of OncologyN.N. Blokhin National Medical Research Center of OncologyN.N. Blokhin National Medical Research Center of OncologyN.N. Blokhin National Medical Research Center of OncologyLLC “TIOS”; Samara State Medical University3D printing has opened new opportunities for the development of personalized systems for prosthetics of extensive chest wall defects after radical surgical interventions for malignant tumors. However, risk factors for an adverse outcome of such operations have not yet been identified.Clinical cases. A 65-year-old man with primary chondrosarcoma of the V rib, underwent surgical resection of three ribs, plasty with local tissues, and an individual 3D printed titanium implant was installed on the sternum and IV-VI ribs. Follow up for 26 months showed no complaints or signs of recurrence. A 52-year-old woman with radiation-induced soft tissue sarcoma of the chest wall, that developed 9 years after radiation for breast cancer, underwent resection of four ribs and pectoral muscles and a 3D printed titanium implant was installed on the sternum and II-V ribs. The operation was complicated by the marginal necrosis of the soft tissue flap and infection of the endoprosthesis, which required removal of the metal structure and reconstruction using TRAM flap. After 9 months, a local recurrence of the tumor was diagnosed. Discussion. As a factor of a positive outcome in a man should be noted a thick layer of subcutaneous fat with muscle tissue, due to which plastic surgery was performed, covering the defect without tension. An extensive resection of the pectoral muscles in a woman created a tissue deficit. Another factor of an unfavorable outcome can be considered the radio-induced nature of the sarcoma. Further research is needed to improve the strategy for selecting patients with malignant tumors of the chest wall for prosthetics.https://www.sechenovmedj.com/jour/article/view/9413d printingindividual implantadditive technologiestitanium implantchondrosarcoma of the ribradiation-induced soft tissue sarcoma |
| spellingShingle | A. K. Valiev P. V. Kononets T. K. Kharatishvili A. G. Salkov N. S. Petrochenko A. R. Shin A. V. Sytov O. Efimenko Personalized 3D printed implants in the treatment of extensive chest wall tumors: clinical cases Сеченовский вестник 3d printing individual implant additive technologies titanium implant chondrosarcoma of the rib radiation-induced soft tissue sarcoma |
| title | Personalized 3D printed implants in the treatment of extensive chest wall tumors: clinical cases |
| title_full | Personalized 3D printed implants in the treatment of extensive chest wall tumors: clinical cases |
| title_fullStr | Personalized 3D printed implants in the treatment of extensive chest wall tumors: clinical cases |
| title_full_unstemmed | Personalized 3D printed implants in the treatment of extensive chest wall tumors: clinical cases |
| title_short | Personalized 3D printed implants in the treatment of extensive chest wall tumors: clinical cases |
| title_sort | personalized 3d printed implants in the treatment of extensive chest wall tumors clinical cases |
| topic | 3d printing individual implant additive technologies titanium implant chondrosarcoma of the rib radiation-induced soft tissue sarcoma |
| url | https://www.sechenovmedj.com/jour/article/view/941 |
| work_keys_str_mv | AT akvaliev personalized3dprintedimplantsinthetreatmentofextensivechestwalltumorsclinicalcases AT pvkononets personalized3dprintedimplantsinthetreatmentofextensivechestwalltumorsclinicalcases AT tkkharatishvili personalized3dprintedimplantsinthetreatmentofextensivechestwalltumorsclinicalcases AT agsalkov personalized3dprintedimplantsinthetreatmentofextensivechestwalltumorsclinicalcases AT nspetrochenko personalized3dprintedimplantsinthetreatmentofextensivechestwalltumorsclinicalcases AT arshin personalized3dprintedimplantsinthetreatmentofextensivechestwalltumorsclinicalcases AT avsytov personalized3dprintedimplantsinthetreatmentofextensivechestwalltumorsclinicalcases AT oefimenko personalized3dprintedimplantsinthetreatmentofextensivechestwalltumorsclinicalcases |