Pinedo OJA, Martínez LCA, Guevara TL, Aguillón LA

Language: Spanish
References: 22
Page: 117-122
PDF size: 87.90 Kb.

ABSTRACT

Pectus excavatum is the commonest congenital defect of the anterior chest wall, accounting for 90-92% of all cases, the rest is distributed between pectus carinatum, cleft sternum, Cantrell´s syndrome and Poland´s syndrome. In Mexico, pectus excavatum occurs in 1 of 1,000 live births. This deformity is barely noticed at birth but becomes more evident during childhood and may constitute a functional, psychosocial and/or aesthetic problem for the adolescent. The pathophysiology involved is an abnormal growth of costal cartilages. Following the fundamental principle that any symptomatic congenital deformity claims the surgeon’s attention, corrective surgery is recommended early in life, when the surgical manipulation is made in a small field. We present the case of an 18 year old, 1.9 m tall, basket-ball player, who had a modelled silicon implant inserted beneath the fasciomuscular layer, as a cosmetic repair of his deformity.

REFERENCES

1. Haller JA. History of the operative management of pectus deformities. Chest Surg Clin N Am 2000;10:227-235.

2. IMSS. Sistema de informática médica ocupacional. Hospital General “Gaudencio González Garza”, Centro Médico Nacional “La Raza”. IMSS, 2003.

3. Haller JA Jr, Kramer SS, Lietman SA. Use of CT scans in selection of patients for pectus excavatum surgery: a preliminary report. J Pediatr Surg 1987;22:904-906.

4. Hebra A. Pectus excavatum. http://www.emedicine.com, 2002.

5. Robicsek F. Surgical treatment of pectus excavatum. Chest Surg Clin N Am 2000;10:277-296.

6. Shamberger RC. Congenital chest wall deformities. Curr Probl Surg 1996;33:469-542.

7. Haller JA. Complications of surgery for pectus excavatum. Chest Surg Clin N Am 2000;10:415-426.

8. Meyer L. Zur chirurgischen Behandlung der angeborenen Trichterbrust. Verh Berliner Medicinischen Gesellschaft 1911;42:364-373.

9. Ravitch MM. The operative treatment of pectus excavatum. Ann Surg 1949;122:429-444.

10. Fonkalsrud EW. Current management of pectus excavatum. World J Surg 2003;27:502-508.

11. Wheeler R, Foote K. Pectus excavatum: studiously ignored in the United Kingdom? Arch Dis Child 2000;82:187-188.

12. Hebra A. Minimally invasive pectus surgery. Chest Surg Clin N Am 2000;10:329-339, vii.

13. Nuss D, Kelly RE Jr, Croitoru DP. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg 1998;33:545-552.

14. Park HJ, Lee Sy, Lee CS, Youm WY, Lee KR. The Nuss procedure for pectus excavatum: evolution of techniques and early results on 322 patients. Ann Thorac Surg 2004;77:289-295.

15. Watanabe A, Watanabe T, Obama T, et al. The use of a lateral stabilizer increases the incidence of wound trouble following the Nuss procedure. Ann Thorac Surg 2004;77:296-300.

16. Davis JT, Weinstein S. Repair of the pectus deformity: results of the Ravitch approach in the current era. Ann Thorac Surg 2004;78:421-426.

17. Wada J, Wolfgang A. Turnover procedure. Chest Surg Clin N Am 2000;10:317-328.

18. Marks MW, Argenta LC, Lee DC. Silicone implant correction of pectus excavatum: indications and refinement in technique. Plast Reconstr Surg 1984;74:52-58.

19. Ehrenhaft TL, Rossi NP, Lawrence MS. Developmental chest wall defects. Ann Thorac Surg 1966;2:384.

20. Conner CW, Burns AJ. Trunk reconstruction. Sel Read Plast Surg 2002;9:17-20.

21. Wechselberg G, Öhlbauer M, Haslinger J, et al. Silicone implant correction of pectus excavatum. Ann Plastic Surg 2001;47:489-493.

22. Mansour KA, Thourani VH, Odessey EA, Durham MM, Miller JI, Miller DL. Thirty-year experience with repair of pectus deformities in adults. Ann Thorac Surg 2003;76:391-395.