Chest Wall Implants

Experience a transformative solution for pectus excavatum and Poland syndrome with our custom 3D chest wall implants, expertly designed to restore confidence and enhance quality of life

3D custom-designed implants offer an innovative approach to treating chest wall deformities associated with pectus excavatum and Poland syndrome. By leveraging advanced imaging techniques and 3D printing technology, these personalised implants provide a tailored solution to address the unique anatomical needs of each patient, ultimately improving both cosmetic and functional outcomes.

Pectus excavatum, commonly known as “funnel chest,” is a congenital condition that results in a sunken or concave appearance of the chest wall. On the other hand, Poland syndrome is a rare birth defect characterised by the underdevelopment or absence of the pectoralis major muscle on one side of the body, often accompanied by other abnormalities in the chest, arm, or hand.

Traditional treatments for pectus excavatum, such as the Nuss or Ravitch procedures, involve invasive surgical techniques to correct the chest wall deformity. For Poland syndrome, treatments may include muscle or tissue transfer techniques to reconstruct the chest wall and address associated anomalies. While these approaches can be effective, they come with certain risks and may not always lead to optimal cosmetic results.

3D custom-designed implants provide an alternative solution, offering several advantages over traditional surgical techniques:

1. Personalised fit: Custom implants are created based on the patient’s unique anatomy, using medical imaging techniques like CT scans to capture the precise dimensions and contours of the chest wall. This ensures a perfect fit and can lead to better cosmetic and functional outcomes.
2. Minimally invasive: The insertion of custom implants typically involves a smaller incision and less disruption of the surrounding tissues compared to more invasive surgical procedures. This can result in faster recovery times and a lower risk of complications.
3. Aesthetic improvement: Custom implants can help restore a more natural and symmetrical appearance to the chest, potentially enhancing self-esteem and confidence in patients with pectus excavatum or Poland syndrome.
4. Reversible and adjustable: Custom implants can be easily adjusted or removed if the patient’s needs or preferences change over time, providing a level of flexibility not always available with traditional surgical treatments.

AnatomikModeling is a cutting-edge company specialising in designing and developing tailor-made implants, precisely crafted to fit each patient’s unique anatomy, offering a minimally invasive treatment solution for conditions such as Pectus Excavatum and Poland Syndrome.

The state-of-the-art approach of creating custom-made 3D implants for thoracic deformities has emerged as a robust alternative to traditional orthopaedic techniques. This innovative method delivers superior morphological results while significantly reducing the risks associated with more invasive procedures and facilitating a quicker recovery for the patient.

AnatomikModeling’s success and expertise stem from a decade-long collaboration with Toulouse University Hospital, combining the best of advanced reconstructive surgery techniques with the latest in 3D modelling technology. This partnership has enabled the development of highly accurate and patient-specific implants, revolutionising the treatment of chest wall deformities and setting a new standard in patient care.

Centre for Surgery is proud to have had a long-standing collaboration with Anatomik Modeling for over six years. Dr Omar Tillo has carried out over 60 chest wall implant procedures at our state-of-the-art specialist plastic surgery clinic in London. This makes us the most experienced surgical unit in the UK for custom-designed 3D chest wall implants.

Poland syndrome is a rare congenital condition characterised by the underdevelopment or absence of the pectoralis major muscle, which is the large chest muscle responsible for moving and stabilising the shoulder joint. The condition typically affects one side of the body, most commonly the right side, and is more prevalent in males.

RELATED: What is Poland Syndrome?

In addition to the pectoralis major muscle abnormalities, Poland syndrome can also be associated with other anomalies, such as:

1. Rib cage deformities: Missing or underdeveloped ribs on the affected side can lead to an asymmetrical appearance of the chest wall.
2. Breast and nipple abnormalities: In females, there may be underdevelopment or absence of the breast and nipple on the affected side.
3. Brachysyndactyly: This term refers to the shortening of the fingers and the fusion of the bones in the hand, which can occur on the same side as the affected pectoralis major muscle.
4. Arm and shoulder abnormalities: There may be underdevelopment or malformation of the arm and shoulder muscles and bones on the affected side.

The exact cause of Poland syndrome is not well understood, but it is thought to involve a disruption of blood flow during embryonic development, which leads to the underdevelopment or absence of the pectoralis major muscle and associated anomalies.

Poland syndrome is typically diagnosed based on the physical appearance and characteristics of the affected individual. In some cases, imaging techniques such as X-rays, CT scans, or MRI can be used to further assess the extent of the abnormalities.

Treatment for Poland syndrome varies depending on the severity of the condition and the specific abnormalities present. Some individuals may not require treatment, while others may benefit from the following options:

1. Physical and occupational therapy: These therapies can help improve function, strength, and range of motion in the affected arm and shoulder.
2. Prosthetics or orthotics: In some cases, prosthetic devices or orthotics can help improve function and appearance.
3. Surgical intervention: Surgery may be performed to reconstruct the chest wall, address breast or nipple abnormalities, or correct hand and arm deformities. This can include using custom implants, muscle or tissue transfer, or other reconstructive techniques. 3D custom-designed implants offer a superior solution to address chest wall deformity without the need for more invasive surgery.

Pectus excavatum treatment corrects the shape of the bone in the middle chest, namely the congenital deformity of the sternum. Pectus excavatum, most commonly known as funnel chest, is a deformity of the thorax that is marked by the median or lateral depression of the sternum. Nearly 1 to 2% percentage of the population is affected by pectus excavatum, being more common in boys than in girls. It is one of the most common types of congenital chest wall abnormality, with an estimated occurrence in between 1 and 300 and 1 and 100000 births.

Thoracic custom-made pectus implants with CAD technology is the solution used for pectus excavatum. At present, it is used as a benchmark procedure at Centre for Surgery because it is easy and reliable. What these pectus implants do is compensate for the congenital deformation. This innovative technique can also help correct breast deformity and asymmetry. Thanks to 3D technology, significant complications are avoided altogether when compared with traditional major thoracic surgery.

Centre for Surgery is a fully accredited partner

These are the long-term results of treatment for pectus excavatum:

• The aesthetic outcome is polished. The edges of the custom-made implantable prosthesis are concealed.
• Setting up the 3D implant is easy. The 3D reconstruction fits perfectly into the patient’s anatomy.
• Low risk of haematoma
• Little pain that can be treated with analgesics, so the patient can be comfortable and functional
• Management of complex cases
• Improved exercise tolerance

Poland Syndrome

Poland Syndrome is a rare anatomic defect caused by a malformation of the homolateral hand and manifests as the absence of the pectoral muscle. This absence can be complete or partial and is most often visible to the naked eye because there is a clear asymmetry at the level of the chest.

Poland Syndrome occurs in men (characterised by a depression under the clavicula) and in women (characterised by a breast asymmetry). Fortunately, this defect can be fixed through surgery with Poland syndrome implants. Results are definitive and recovery time is very fast.

Pectus excavatum and Poland syndrome are two separate congenital conditions that can result in deformities of the chest wall. Pectus excavatum leads to a sunken or concave chest wall, while Poland syndrome is characterised by the absence or underdevelopment of chest muscles, usually on one side of the body, and sometimes accompanied by other abnormalities in the hand or arm. Custom implants can be designed to correct the chest wall deformities caused by these conditions.

Here is a detailed list of potential benefits associated with custom implants for patients with pectus excavatum and Poland syndrome:

1. Aesthetic improvement: Custom implants can help restore a natural and symmetrical appearance to the chest, which may enhance the patient’s self-esteem and confidence. This is particularly important for individuals with Poland syndrome, who may have a noticeable asymmetry in their chest wall.
2. Personalised fit: Custom implants are designed based on the patient’s unique anatomy, using medical imaging techniques like CT scans and 3D printing technology. This ensures a precise fit, which can lead to better outcomes and higher patient satisfaction.
3. Minimally-invasive: Compared to traditional surgical treatments like the Nuss or Ravitch procedure for pectus excavatum, and muscle or tissue transfer techniques for Poland syndrome, custom implants are less invasive. They are typically inserted through a small incision, which leads to faster recovery times and a lower risk of complications.
4. Preserving chest wall function: Custom implants can help maintain or improve chest wall function by providing support and a more natural appearance without significantly altering the underlying structure. This can be particularly beneficial for individuals with Poland syndrome, who may already have compromised chest wall function due to underdeveloped muscles.
5. Reversible and adjustable: Custom implants can be removed or adjusted if the patient’s needs or preferences change over time, providing a level of flexibility not always available with more invasive surgical treatments.
6. Reduced pain and discomfort: As custom implants are less invasive than other surgical options, patients may experience less postoperative pain and discomfort, leading to a more comfortable recovery.
7. Shorter hospital stay: Due to the less invasive nature of custom implant procedures, patients may require a shorter hospital stay compared to more invasive surgical options, which can be both more convenient and cost-effective.

Pectus excavatum treatment is reserved for people who are not happy with the way their chest looks and are, thus, concerned with their body image. To be more precise, the surgical procedure addresses young people as well as adults who suffer from psychological discomfort. The treatment equally addresses people who have trouble exercising due to shortness of breath. The heart or lung function is not affected, but there have been peculiar cases.

Anyone struggling with Poland Syndrome is encouraged to make an appointment at Centre for Surgery for a consultation. Please remember that the recommended age for this procedure is different for boys and girls. Due to breast development, young women are advised to until their chest area is fully developed before surgery, while boys can undergo the procedure starting at age 13. Although this defect does not cause any health abnormalities or impair movement, it is a major aesthetic concern for people who suffer from it, affecting their self-confidence and body image

Patients like the ones mentioned above make good candidates for chest wall implants. Besides having the desire to improve the appearance of the chest, it is necessary to be in good health. To be more precise, patients should not have major medical problems. Unacceptable patients are those with illnesses that raise the risk of surgical procedures, like poor nutrition, uncontrolled diabetes, obesity, and healing disorders.

Surgical procedures for pectus excavatum and Poland syndrome using custom implants involve the insertion of patient-specific prosthetic devices designed to correct the chest wall deformities associated with each condition. These implants provide both cosmetic and functional improvements while offering a less invasive alternative to traditional surgical techniques. The surgical process for both conditions is similar, with some differences based on the specific deformity being addressed.

Here is a general overview of the surgical procedure for pectus excavatum and Poland syndrome using custom implants:

1. Preoperative assessment and planning: A thorough evaluation of the patient is conducted by Dr Omar Tillo, a specialist plastic surgeon who specialises in chest wall deformities and reconstructive surgery. This evaluation may include a physical examination, medical history review, and imaging studies like CT scans or MRI to assess the extent of the deformity and plan the implant design.
2. Custom implant design: Using the patient’s unique anatomy and the acquired imaging data, a 3D model of the chest wall is created. Computer-aided design (CAD) software is utilised to design a custom implant tailored to fit the patient’s chest wall precisely, providing optimal support and aesthetic improvement.
3. Implant fabrication: The custom implant is fabricated using biocompatible materials, such as silicone or porous polyethylene, which have been proven safe and well-tolerated by the body. The implant is typically produced using advanced 3D printing technology to ensure accuracy and a perfect fit.
4. Surgery: a. Anesthesia: The patient is placed under general anaesthesia for the procedure. b. Incision: The surgeon makes a small incision, usually along the natural skin creases of the chest, to minimise scarring. c. Implant insertion: The implant is carefully inserted beneath the skin and muscle layers and positioned to correct the chest wall deformity. d. Fixation: The surgeon may use sutures or surgical adhesive to secure the implant in place. e. Closure: The incision is closed using sutures or surgical staples.
5. Postoperative care: After the surgery, the patient is closely monitored to ensure proper healing and implant placement. Pain management, wound care, and activity restrictions will be provided as needed. Recovery time varies depending on the individual, but patients can typically return to light activities within a few weeks, with full recovery expected in a few months.
6. Follow-up: Regular follow-up appointments with Dr Tillo will be scheduled to monitor the patient’s progress, assess the implant’s positioning, and address any concerns or complications that may arise.

Recovery after chest wall implant surgery varies depending on the individual and the specifics of the procedure. However, here is a detailed overview of what you can typically expect during the recovery process:

1. Immediate postoperative period: After the surgery, you will be monitored in a recovery room to ensure your vital signs are stable and any initial side effects from anaesthesia are managed. Once you are awake and stable, you will be transferred to a hospital room or discharged to recover at home, depending on your surgeon’s recommendation and the complexity of your surgery.
2. Pain management: You may experience some pain and discomfort around the surgical site. Your surgeon will likely prescribe pain medication to help manage this discomfort. It is essential to follow the prescribed dosage and schedule to ensure proper pain relief while minimizing potential side effects.
3. Wound care: Keeping the surgical incision clean and dry is crucial to promote healing and prevent infection. You will receive specific instructions from your surgeon on how to care for your wound, including when you can shower and how to change any dressings or bandages.
4. Activity restrictions: You will need to limit your physical activities during the initial recovery phase to protect the surgical site and allow for proper healing. Avoid heavy lifting, strenuous exercise, or any activity that may strain the chest muscles or implant. Your surgeon will provide guidance on when you can gradually resume activities and return to work or school, typically within a few weeks.
5. Swelling and bruising: Some swelling and bruising around the surgical site are normal and will gradually subside over several weeks. You can use cold compresses to help reduce swelling and improve comfort.
6. Compression garments: Your surgeon may recommend wearing a compression garment to help reduce swelling, provide support to the chest area, and maintain the implant’s position during the healing process. Be sure to follow your surgeon’s instructions on when and how long to wear the garment.
7. Follow-up appointments: Regular follow-up appointments with your surgeon will be scheduled to monitor your progress, assess the implant’s positioning, and address any concerns or complications that may arise. It is crucial to attend these appointments and follow your surgeon’s recommendations for optimal recovery.
8. Long-term recovery: Full recovery from chest wall implant surgery may take a few months, during which the swelling will continue to decrease, and the implant will settle into its final position. It is essential to follow your surgeon’s instructions and maintain a healthy lifestyle to promote healing and ensure the best possible outcome.

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Case 1: (left-sided Poland syndrome)

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At Centre for Surgery, we are dedicated to providing the highest quality care and cutting-edge solutions for patients with chest wall deformities, such as those caused by pectus excavatum and Poland syndrome. Choosing our Baker Street facility for 3D custom-designed implants ensures that you receive the best possible care and outcomes for your condition. Here’s why:

1. Expertise: Our skilled surgeons and medical staff have extensive experience and specialized training in reconstructive surgery and the use of 3D custom-designed implants. They are committed to staying up-to-date with the latest advancements in the field to provide you with the most effective and innovative treatments available.
2. State-of-the-art technology: We utilize advanced 3D imaging and computer-aided design (CAD) technology to create precise, patient-specific implants tailored to your unique anatomy. This technology ensures that your implant is a perfect fit, providing optimal support and aesthetic improvement while minimising the risk of complications.
3. Comprehensive care: At Centre for Surgery, we take a holistic approach to patient care, addressing both the physical and emotional aspects of your condition. Our multidisciplinary team of specialists works collaboratively to develop a personalised treatment plan that addresses your specific needs and goals, ensuring the best possible outcome.
4. Patient-centred approach: We understand that each patient is unique and has individual needs and concerns. Our team is committed to providing personalised care and support, ensuring that you feel comfortable, informed, and confident throughout your treatment journey.
5. Safety and quality: Patient safety and satisfaction are our top priorities. We adhere to strict protocols and best practices to ensure that every procedure is performed with the highest level of care and precision, minimizing risks and promoting optimal results.
6. Supportive environment: Our state-of-the-art facility is designed to provide a comfortable and welcoming environment for our patients. Our compassionate staff is always available to answer your questions, address your concerns, and provide the support you need throughout your treatment and recovery process.

By choosing Centre for Surgery for your 3D custom-designed implants, you can trust that you are in expert hands and will receive the highest level of care and attention to achieve the best possible results.