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Case report
Complex chest wall wound managed by a novel technique of thoracoplasty
  1. Biplab Mishra1,
  2. Mohit Kumar Joshi2,
  3. Raja Tiwari3 and
  4. Madhur Uniyal4
  1. 1Division of Trauma Surgery and Critical Care, All India Institute of Medical Sciences, New Delhi, Delhi, India
  2. 2Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, Delhi, India
  3. 3Plastic and Reconstructive Surgery, JPN Apex Trauma Centre, AIIMS, New Delhi, Delhi, India
  4. 4Division of Trauma Surgery and Critical Care, Department of Surgical Disciplines, JPN Apex Trauma Centre, New Delhi, Delhi, India
  1. Correspondence to Dr Mohit Kumar Joshi; drmohitjoshi{at}gmail.com

Abstract

Thoracoplasty is a procedure to collapse the chest wall over a residual space in the thoracic cavity in order to abolish and avoid the complications associated with this dead space. Although effective in achieving this, the procedure is crippled by poor cosmetic appearance and functional outcome. We report a case of recalcitrant complex chest wall defect with a large cavity, marred by visible heart and poor availability of local muscles, that was successfully managed by a novel technique of thoracoplasty with acceptable postoperative appearance and function.

  • cardiothoracic surgery
  • general surgery
  • plastic and reconstructive surgery
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Footnotes

  • Contributors BM: Conceptualised and designed; revised the draft critically for important intellectual content; final approval of the version published. MKJ: Drafted the article and also revised it critically for important intellectual content; final approval of the version published. RT: Revised the draft critically for important intellectual content; final approval of the version published. MU: Helped in acquisition of data; revised the manuscript; final approval of the version published.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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