Sternal Cleft: Appropriate Approach to Diagnosis and Treatment by Yasser Ali Kamal in Surgery & Case Studies- Open Access Journal in Lupine Publishers
Sternal cleft (SC) is a rare congenital anomaly of the chest wall,
isolated or combined with other malformations. We try to
provide an appropriate stepwise approach for the diagnosis and treatment
of SC. Prenatal ultrasound diagnosis can be obtained
after the 18th week of gestation. At birth, diagnosis is based on the
findings of clinical examination, chest x-ray, computed
tomography and additional investigations for the associated anomalies.
Primary approximation of the sternal bars is preferred
before the age of 3 months. For older cases and rigid chest wall, the
surgical correction can be achieved using prosthetic materials,
autologous grafts, or biologic implants. The surgical decision depends
on the age of patient, rigidity of the chest wall, and presence
of other abnormalities in the chest wall.
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