Treatment of postpneumonectomy syndrome with tissue expanders: the Great Ormond Street Hospital experience

M S Lloyd; C Wallis; N Muthialu; M Elliott; N W Bulstrode

doi:10.1016/j.bjps.2013.11.002

Treatment of postpneumonectomy syndrome with tissue expanders: the Great Ormond Street Hospital experience

J Plast Reconstr Aesthet Surg. 2014 May;67(5):725-8. doi: 10.1016/j.bjps.2013.11.002. Epub 2013 Dec 4.

Authors

M S Lloyd¹, C Wallis², N Muthialu³, M Elliott³, N W Bulstrode⁴

Affiliations

¹ The Department of Plastic Surgery, Great Ormond Street Hospital, Great Ormond Street, London, WC1N 3JH, UK. Electronic address: mark.lloyd73@btinternet.com.
² The Department of Respiratory Medicine, Great Ormond Street Hospital, Great Ormond Street, London, WC1N 3JH, UK.
³ The Department of Cardiothoracic Surgery, Great Ormond Street Hospital, Great Ormond Street, London, WC1N 3JH, UK.
⁴ The Department of Plastic Surgery, Great Ormond Street Hospital, Great Ormond Street, London, WC1N 3JH, UK. Electronic address: BulstN1@gosh.nhs.uk.

PMID: 24333233
DOI: 10.1016/j.bjps.2013.11.002

Abstract

Postpneumonectomy syndrome (PPS) is a rare syndrome whereby the airway and oesophagus become obstructed due to extreme rotation of the mediastinum after pneumonectomy. Our treatment of this condition involved mediastinal repositioning and placement of a saline filled tissue expander into the pleural space. This has not been reported in the plastic surgical literature and we describe technical difficulties and how they were overcome.

Keywords: Cardio-thoracic surgery; Plastic surgery; Post-pneumonectomy syndrome; Tissue expansion.

Publication types

Case Reports

MeSH terms

Airway Obstruction / etiology
Airway Obstruction / surgery*
Child
Esophageal Diseases / etiology
Esophageal Diseases / surgery*
Female
Humans
Pneumonectomy / adverse effects*
Prosthesis Implantation / methods*
Syndrome
Tissue Expansion Devices*