Ergebnisse operativer Korrektur von Kiel- und Trichterbrust nacheiner modifizierten Operationstechnik von Ravitch und Haller¹

Abstract

A surgical technique which is a modification of the technique described by Ravitch is presented in detail. We employed it in 441 patients, among them 85% with funnel chest, 11% with pigeon breast and 4% with combined funnel-pigeon breast. The pre- and postoperative measurement of the chest deformity which provides an objective evaluation of the surgical result is described. The postoperative results were in 91% satisfactory and in only 9% unsatisfactory. No postoperative death was observed in the last 420 patients. The overall mortality in the world literature is 0,05%.

Importance of Morphological Findings in the Progress and Treatment of Chest Wall Deformities with Special Reference to the Value of Computed Tomography, Echocardiography and Stereophotogrammetry*

“…The literature does not contain an agreed policy for the diagnosis of or the indications for and methods of treatment of chest wall deformities (3,4,8,11,15). The objectives of treatment of this group of disorders should be related to the morphological and functional aspects of the respiratory movements of the deformed chest wall and their effects on the thoracic viscera.…”

“…Until now morphological investigations have had almost no place in the choice of the correct surgical techniques, in planning the operative strategy, or as the basis for applying physiotherapy to support the surgical procedures. Reports in the literature have given only limited information about progress in individual cases and the long term consequences of correction by different surgical procedures (3,4,8,11,15) of various chest wall deformities. There has often been a discrepancy between subjective and objective findings (1) and the assessment of the surgical results by the chosen parameters has been inadequate.…”