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- W2392608171 abstract "Objective:To investigate the clinical effects of sternal manubrium fenestration to expose upper thoracic vertebrae.Method:Measurement of sternal manubrium were taken in 40 adult specimen soaked in 10% formalin.Based on the measurement,9 patients who suffered fracture,tuberculosis or tumor at region of C7~T4 were operated by fenestration of manubrium with clavicular and sternoclavicular joint intact.Esophageal Barium meal after surgery was taken to reveal the relationship between esophagus,strut grafting and instruments,all patients were followed up.Result:The shape after sternal manubrium fenestration was just like jar.The window width of bottle neck which located between double sternoclavicular joint was the most narrow sits.All patients was operated safely.Two patients with recurrent laryngeal nerve injury due to surgery recovered in 15 and 20 days individually.Barium sulfate in 9 patients passed the canal of esophagus smoothly in front of instruments.9 cases were followed up for 2 to 5 years(average 3.3 years).Fenestrated sternal manubrium healed up in 8 cases.There was no chronic pain,neurovascular injury in 8 cases of 9 patients.One case with multiple myeloma underwent the surgery of sternal manubrium reconstruction.There was slight collapse in sternal manubrium.Involved vertebrae healed and no instrument failure was noted in all cases.Conclusion:The upper thoracic spine can be approached by sternal manubrium fenestration which can leave clavicular and sternoclavicular joint intact." @default.
- W2392608171 created "2016-06-24" @default.
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- W2392608171 date "2007-01-01" @default.
- W2392608171 modified "2023-09-23" @default.
- W2392608171 title "Anatomic and clinical application of sternal manubrium fenestration to expose upper thoracic vertebrae" @default.
- W2392608171 hasPublicationYear "2007" @default.
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