Manubrial-clavicular-chest wall explantation to expose the anterior thoracic inlet.
The anterior thoracic inlet is difficult to access surgically because of the overlying pectoral-shoulder girdle, clavicle, and manubrium. With both the Dartevelle and Grunenwald approaches, retraction of an osteomuscular flap is required, and patients may be left with the functional and aesthetic implications of partial clavicular resection. We describe a novel technique involving manubrial-clavicular-chest wall explantation with preservation and reimplantation. Manubrial and clavicular plating is performed to stabilize the anterior chest wall and clavicle after reimplantation. This approach represents an alternative technique that provides excellent visualization of the entire anterior thoracic inlet.
['Seder|Christopher W|CW|', 'Elhassan|Bassem T|BT|', 'Wigle|Dennis A|DA|']
D002968:Clavicle D005500:Follow-Up Studies D006801:Humans D008371:Manubrium D019651:Reconstructive Surgical Procedures D012092:Replantation D013524:Surgical Flaps D035423:Thoracic Cavity D013899:Thoracic Neoplasms D019616:Thoracic Surgical Procedures D035441:Thoracic Wall
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