Surgical Treatment of Pectus Carinatum

Lam, Conrad R.

doi:10.1001/archsurg.1971.01350080107016

Cited by 18 publications

(8 citation statements)

References 4 publications

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“…The classical management of pectus deformities, both carinatum and excavatum, has been primarily surgical [7][8][9][10]. Surgical intervention is generally a modification of the Ravitch technique that uses resection of the deformed costal cartilages along with sternal osteotomy.…”

mentioning

confidence: 99%

The Calgary protocol for bracing of pectus carinatum: a preliminary report

Kravarušić

Dicken

Dewar

et al. 2006

Journal of Pediatric Surgery

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mentioning

confidence: 99%

The Calgary protocol for bracing of pectus carinatum: a preliminary report

Kravarušić

Dicken

Dewar

et al. 2006

Journal of Pediatric Surgery

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“…Pigeon breast is an uncommon type of anterior chest wall abnormality (3,4). We herein present a case in which a severe pigeon chest wall defect that was favorably corrected by several chordotomies, a triple resectional sternal osteotomy, and stabilized with spongious bone infibulation utilizing absorbable Grand-Fix and with titanium bars on the cortical surface of the sternum and ribs.…”

Section: Casementioning

confidence: 98%

Anterior chest wall reconstruction for oncologic and non-oncologic pathology: a case series

Giunta¹,

Daddi²,

Antonacci³

et al. 2020

Curr Chall Thorac Surg

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Background: Utmost malignant, in addition to large benign tumors or deformity/trauma of the chest wall, typically require thoracic surgery to manage the abnormal growth promptly. Chest wall resection encompasses a variety of approaches from partial to full surgical removal of soft tissue, cartilage, sternum, and ribs. The reconstruction, using prosthetic materials may be employed to rebuild the skeletal structure.Methods: From January 2017 to October 2019, four consecutive patients with anterior chest diseases underwent surgical treatment. Two young patients, one with displaced traumatic sternum fracture and the other with pectus carinatum (pigeon breast), were treated by anterior chest wall resection and reconstruction with absorbable pin and titanium plating application. Two adult women with previous breast cancer, one with radio-induced sternum osteosarcoma and the other with post-actinic wall infection were treated using titanium plating application and myocutaneous flaps.Results: In both two young patients, we had good results correcting the deformities and then fixing it by using a combination of different materials. Patients and parents describe an improved emotional comfort and self-confidence, as well as an increased physical and welfare activities from pre-to post-surgery. Postoperative course was complicated for both women with previous surgery and radiotherapy for breast cancer.Both cases had skin dehiscence and needed further surgical revision. However, long-term follow-up confirms the good cosmetic result, with a satisfactory reconstruction and normal movement. Conclusions:We reported a small case series of four patients treated for a wide spectrum of different diseases with 4 different techniques. Considering the results, an aggressive, well-planned and multidisciplinary surgical treatment can give excellent success.

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“…In most cases, it is perceived by the age of 10, is accentuated at puberty, during growth in adolescence, and reaches its peak at the ages of 16 and 18, respectively, in girls and boys. (8) Congenital etiology is increased by the following: occurrence of two cases of PC or other thoracic deformities in the same family; (5,8) observation in monozygotic twins; (9)(10)(11) presence at birth; (8,12) association with Marfan syndrome, association with congenital heart disease, and hand agenesis (8,13) Associations with prolapse, reflux, or mitral stenosis has also been reported. (14) In a series of schoolchildren between 10 and 15 years of age, the incidence of family members with thoracic deformities was 25%, (5) suggesting congenital and hereditary origin.…”

Section: Etiopathogenesismentioning

confidence: 99%

Pectus carinatum

Coelho

Guimarães

2007

J. bras. pneumol.

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Among the deformities of the thoracic wall, pectus carinatum has not received the same attention as has pectus excavatum. Few pulmonologists, pediatricians, and thoracic surgeons are aware of the approaches to treating this condition. As a consequence, patients with pectus carinatum are not referred for treatment. This deformity, with an incidence of 1:1000 teenagers, is oligosymptomatic. However, for aesthetic and emotional reasons, it accounts for a large number of medical appointments. Such patients are introverted and do not engage in physical activities, since they are unwilling to expose their chest, which also discourages them from going to the beach or to swimming pools. The diagnosis is clinical and visual, and details are obtained through chest X-rays and computed tomography. The treatment is based on a well-known organogram that summarizes orthopedic and surgical procedures. Dynamic compression, combined with physical exercises, is indicated for teenagers with flexible thorax in inferior and lateral pectus carinatum, with limited indication for those with superior pectus carinatum. For individuals of any age with rigid thorax, surgery is indicated for aesthetic reasons. Among the techniques described, the modified sternum chondroplasty stands out due to the excellent aesthetic results achieved.

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Surgical Treatment of Pectus Carinatum

Cited by 18 publications

References 4 publications

The Calgary protocol for bracing of pectus carinatum: a preliminary report

The Calgary protocol for bracing of pectus carinatum: a preliminary report

Anterior chest wall reconstruction for oncologic and non-oncologic pathology: a case series

Pectus carinatum

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