A fresh approach in the treatment of pectus excavatum

Bruck, J. C.; Hörtnagl, Heide; Bauer, Marlies; Wilflingseder, P

doi:10.1007/bf00288760

Cited by 6 publications

(2 citation statements)

References 19 publications

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“…After several minutes, self-vulcanization without any specific catalyst transformed it into a gummy silastic elastomer block similar to a virtual customized mold. Following sterilization and minor chasing, it was implanted in a subcutaneous presternal pocket via an epigastric skin incision and access (3,4). This elegant and short intervention was performed for an aesthetic indication or because of an explicit severe psychological alteration in adults rather than adolescents.…”

Section: Silasticmentioning

confidence: 99%

“…Previously, more than five decades ago, the domain of plastic surgery was restricted to extrathoracic corrections using self-vulcanizing silastic implants placed in a subcutaneous presternal pocket (3,4). Nowadays, with improved quality of customized implantable silastic devices, this technique remains attractive as an alternative or even an adjunct to more invasive techniques.…”

Section: Introductionmentioning

confidence: 99%

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Pectus excavatum repair from a plastic surgeon’s perspective

Schwabegger

2016

Ann. Cardiothorac. Surg.

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Minimally invasive repair of pectus excavatum (MIRPE) or similar procedures for pectus excavatum (PE) repair, nowadays no longer performed by one single speciality, may not always achieve sufficient aesthetic results, particularly in the infrapectoral or infraxiphoidal region. Reasons for this include the diaphragm inhibiting correct positioning of the bars, as well as asymmetric deformities which may still be present after remodelling attempts. Furthermore, some cases develop a mild recurrence or partial concavity once the correction bar is removed. However, any secondary re-do MIRPE procedure remains risky because of adhesions between the pleura, lung, pericardium, thoracic wall as residuals from the primary intervention.

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Section: Silasticmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pectus excavatum repair from a plastic surgeon’s perspective

Schwabegger

2016

Ann. Cardiothorac. Surg.

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Study on the biocompatibility of in situ vulcanized Silastic 382

Hoinkes¹,

Wilflingseder

Mikuz³

et al. 1984

Chir Plastica

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Silastic Implant for Reconstruction of Pectus Excavatum: An Update

Nordquist

2001

Scandinavian Journal of Plastic and Reconstructive Surgery and

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Twenty-seven patients were operated on for pectus excavatum between 1985 and 1996 and had a custom-made subcutaneous Silastic implant inserted. We have reviewed their medical records to evaluate the clinical course, and used a questionnaire to assess the subjective outcome. There were no major surgical complications. Sixteen of the 27 patients reported improved appearance, and 11 would definitely recommend the operation to other patients under similar circumstances. Increased familiarity with the technique has led to implants with better size and shape, shorter hospital stay, and also to patients being more confident with the outcome. Augmentation with a custom-made Silastic implant is still a simple and straightforward way of concealing the deformity and alleviating the subjective discomfort in patients with pectus excavatum, whose cardiopulmonary function is within the normal range.

show abstract

A fresh approach in the treatment of pectus excavatum

Cited by 6 publications

References 19 publications

Pectus excavatum repair from a plastic surgeon’s perspective

Pectus excavatum repair from a plastic surgeon’s perspective

Study on the biocompatibility of in situ vulcanized Silastic 382

Silastic Implant for Reconstruction of Pectus Excavatum: An Update

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