The breast, and the thoracic wall in respiration

2007 ◽  
pp. 96-98
Keyword(s):  
Thoracic Wall

Ultrasound-guided thoracic wall nerve blocks for effective pain control in cardiac surgery

2020 ◽  
Vol 86 (6) ◽  
Author(s):  
Giuseppe Sepolvere ◽  
Mario Tedesco ◽  
Pierfrancesco Fusco ◽  
Paolo Scimia ◽  
Loredana Cristiano
Keyword(s):  
Cardiac Surgery ◽  
Pain Control ◽  
Thoracic Wall ◽  
Ultrasound Guided ◽  
Nerve Blocks

scholarly journals Validation of questionnaire-reported chest wall abnormalities with a telephone interview in Swiss childhood cancer survivors

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rahel Kasteler ◽  
Christa Lichtensteiger ◽  
Christina Schindera ◽  
Marc Ansari ◽  
Claudia E. Kuehni ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Chest Wall ◽  
Daily Life ◽  
Well Being ◽  
Childhood Cancer Survivors ◽  
Thoracic Wall ◽  
Medical Attention ◽  
The Impact

Abstract Background Chest wall abnormalities are a poorly studied complication after treatment for childhood cancer. Chest wall abnormalities are not well-described in the literature, and little is known on the impact on daily life of survivors. Methods We investigated prevalence and risk factors of chest wall abnormalities in childhood cancer survivors in a nationwide, population-based cohort study (Swiss Childhood Cancer Survivor Study) with a questionnaire survey. We then interviewed a nested sample of survivors to validate types of chest wall abnormalities and understand their impact on the daily life of survivors. Results Forty-eight of 2382 (95%CI 2–3%) survivors reported a chest wall abnormality. Risk factors were older age at cancer diagnosis (16–20 years; OR 2.5, 95%CI 1.0–6.1), lymphoma (OR 3.8, 95%CI 1.2–11.4), and central nervous system tumors (OR 9.5, 95%CI 3.0–30.1) as underlying disease, and treatment with thoracic radiotherapy (OR 2.0, 95%CI 1.0–4.2), surgery to the chest (OR 4.5, 95%CI 1.8–11.5), or chemotherapy (OR 2.9, 95%CI 1.0–8.1). The nature of the chest wall abnormalities varied and included thoracic wall deformities (30%), deformations of the spine (5%) or both (55%), and scars (10%). Chest wall abnormalities affected daily life in two thirds (13/20) of those who reported these problems and necessitated medical attention for 15 (75%) survivors. Conclusion It is important that, during follow-up care, physicians pay attention to chest wall abnormalities, which are rare late effects of cancer treatment, but can considerably affect the well-being of cancer survivors.

Designing Lateral Thoracic Wall Perforator Flaps for Breast Reconstruction Using the Ultrasound

2021 ◽  
Author(s):  
Marzia Salgarello ◽  
Giuseppe Visconti
Keyword(s):  
Breast Reconstruction ◽  
Duplex Ultrasound ◽  
Free Flaps ◽  
Thoracic Wall ◽  
Perforator Flaps ◽  
Thoracodorsal Artery ◽  
The Us ◽  
Latissimus Dorsi Myocutaneous Flap ◽  
Artery Perforator ◽  
Color Duplex Ultrasound

Abstract Background Lateral thoracic flaps represent a precious source for partial and total breast reconstruction, in some cases as first option and in other cases as alternative of free flaps. This article describes the ultrasound (US)-based planning of the lateral thoracic wall perforator adipocutaneous flaps and it reports our experience on 52 consecutive flaps. Patients and Methods From November 2018 to May 2021, 52 consecutive lateral thoracic wall perforator flaps were performed using the US-based method for reconstruction of partial breast defects and total breast reconstruction. High-frequency US was performed in all cases prior to surgery to select the best perforator and design the flap. Results Of the 52 cases, 41 were lateral intercostal artery perforator flaps (78.8%), and 11 were thoracodorsal artery perforator (TDAP) flaps. Of the 11 TDAP flaps, 2 cases were based on the direct cutaneous branch. Moreover, in two other cases clinically scheduled for lateral thoracic perforator flaps due to the presence of an appropriate axillary roll, no suitable local/regional perforators were detected with the preoperative US examination and the latissimus dorsi myocutaneous flap was performed. Conclusion Preoperative planning of these flaps using US speeds the surgery and makes it easier and more efficient. Therefore, it is reasonable that the color duplex ultrasound is the operative surgeon's tool for mapping the lateral thoracic wall perforators and to appropriately plan each flap.

scholarly journals Mediastinitis and pericardial effusion in a patient with AIDS and disseminated Mycobacterium avium infection: a case report

2012 ◽  
Vol 45 (3) ◽  
pp. 407-409 ◽  
Author(s):  
Juan José Cortez-Escalante ◽  
Aline Marques dos Santos ◽  
Giovanna de Curcio Garnica ◽  
Ana Lucia Sarmento ◽  
Cleudson Nery de Castro ◽  
...  
Keyword(s):  
Mycobacterium Avium ◽  
Left Lung ◽  
Immune Deficiency Syndrome ◽  
Deficiency Syndrome ◽  
Thoracic Wall ◽  
Axillary Lymph ◽  
Genotype I ◽  
Avium Infection ◽  
Acquired Immune Deficiency ◽  
Mycobacterium Avium Infection

We report the case of a 36-year-old man who had acquired immune deficiency syndrome and developed suppurative mediastinitis extending over the left lung and anterior thoracic wall around the sternum, pericardial effusions, splenomegaly, and mesenteric and periaortic lymphadenomegaly due to Mycobacterium avium (genotype I). The organism was isolated from an axillary lymph node and the bone marrow. Mediastinitis associated with disseminated M. avium complex infection is uncommon and, to the best of our knowledge, this manifestation has not reported before.

Thoracic Wall Reconstruction in Local Recurrences and Advanced Cases

2019 ◽  
pp. 745-749
Author(s):  
Lorenzo Spaggiari ◽  
Francesco Petrella ◽  
Alessandro Pardolesi ◽  
Piergiorgio Solli
Keyword(s):  
Thoracic Wall ◽  
Local Recurrences ◽  
Thoracic Wall Reconstruction
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