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Pectus excavatum and pectus carinatum; report on the surgical treatment of eleven patients
Authors:DAVIS W C  BERLEY F V
Affiliation:1. Shenzhen Key Laboratory of Polymer Science and Technology, Guangdong Research Center for Interfacial Engineering of Functional Materials, College of Materials Science and Engineering, Shenzhen University, Shenzhen 518060, China;2. Key Laboratory of Optoelectronic Devices and Systems of Ministry of Education and Guangdong Province, College of Optoelectronic Engineering, Shenzhen University, Shenzhen 518060, China;3. State Key Laboratory of Solidification Processing, Center of Advanced Lubrication and Seal Materials, Northwestern Polytechnical University, Xi''an 710072, China;1. College of Natural Resources and Environment, Northwest A&F University, Yangling 712100, China;2. Key Laboratory of Plant Nutrition and the Agri-environment in Northwest China, Ministry of Agriculture, Yangling 712100, China;3. Agro-Environmental Protection Institute, Ministry of Agriculture of the People''s Republic of China, Tianjin 300191, China;1. Electrical and Energy Department, Universidad de Cantabria, Spain;2. Laboratory of Science and Engineering of Materials, Universidad de Cantabria Avenida, Los Castros, s/n, Santander 39005, Spain
Abstract:
  • 1.1. Ten cases of pectus excavatum and one case of pectus carinatum have been presented.
  • 2.2. The etiology of these two conditions has been explained as the overgrowth of ribs and costal cartilages.
  • 3.3. The operative treatment of both deformities has been presented. The costal cartilages involved in the deformity are excised subperichondrally. Transverse wedge osteotomy of the sternum is performed and the corrected sternal position is held with interrupted wire sutures at the osteotomy site. It is believed that external fixation is unnecessary except in adults. The operation for pectus carinatum is a modification of the procedure used in the treatment of pectus excavatum.
  • 4.4. The postoperative results were all considered good. Complications were never major. It is not believed that the dangers of treatment of these conditions should contraindicate operation when proper indications are present. Follow-up was available in ten of the eleven cases. All received good cosmetic benefit and the majority of preoperative symptoms were relieved or improved.
Keywords:
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