CC BY 4.0 · European J Pediatr Surg Rep 2019; 07(01): e20-e23
DOI: 10.1055/s-0039-1688775
Case Report
Georg Thieme Verlag KG Stuttgart · New York

First Sternal Cleft Repair Using a Porous Alumina Ceramic Prosthesis in a 9-Year-Old Child

1  Department of Cardiac Surgery, Timone Children's Hospital, Marseille, France
2  Faculty of Medicine, Aix-Marseille University, Marseille, France
,
François Bertin
3  Department of Thoracic and Vascular Surgery, Dupuytren University Hospital, Limoges, France
,
Emilie Peltier
2  Faculty of Medicine, Aix-Marseille University, Marseille, France
4  Department of Orthopaedics, Timone Children's Hospital, Marseille, France
,
Jean-Luc Jouve
2  Faculty of Medicine, Aix-Marseille University, Marseille, France
4  Department of Orthopaedics, Timone Children's Hospital, Marseille, France
› Author Affiliations
Further Information

Publication History

15 November 2018

31 March 2019

Publication Date:
26 August 2019 (online)

  

Abstract

Sternal cleft is a rare congenital abnormality, often associated with other congenital defects. We present the case of a 9-year-old child with complete sternal cleft, treated with an innovative sternal prosthesis. Surgery was performed to protect the heart and also, as pulsations was visible, leading to serious esthetical concerns, to enhance school integration, which was difficult. The porous alumina device used was initially designed for sternal reconstruction after refractory deep sternal wound infection or carcinoma. Surgery and early follow-up were simple. There was no complication and the follow-up of more than 1 year reveals a good healing without breath discomfort and a correct development of the chest wall. In this rare indication, the alumina ceramic sternal prosthesis offers a reliable alternative to classical methods, such as muscle flap, autogenous tissue transfer, costal homograft, and other prosthetic materials like mesh or synthetic patch.