engleski

Primary closure of superior partial sternal cleft in a 2-month-old girl: a case report

The sternal cleft is a well-known malformation whose first descriptions date back to 1740 (“Torres à la Société Royale, ” London). In 1888, Lannelongue was the first to report of a sternal cleft operation. He removed only the membranous defect of the skin at the site where the sternum was supposed to be, without joining the sternal edges. The first successful sternal cleft surgery dates back to 1947 when Burten performed a successful reconstruction by covering the defect with costal cartilage. In 1958, Sabiston described bilateral serial dissection of the costal cartilages and wedge-shaped excision of the sternal margin. Because in older children the bilateral chondrotomy, proposed by Sabiston, was not useful because of the extremely rigid chest, in 1961, Ravitch suggested covering the defect with a metal mesh and later with Teflon (1977).

sternal cleft ; congenital malformation ; reconstruction ; pediatric surgery

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