RT Book, Section
A1 Bruny, Jennifer
A2 Ziegler, Moritz M.
A2 Azizkhan, Richard G.
A2 Allmen, Daniel von
A2 Weber, Thomas R.
SR Print(0)
ID 1100432596
T1 Pectus Carinatum and Other Deformities of the Chest Wall
T2 Operative Pediatric Surgery, 2e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-162723-8
LK accesssurgery.mhmedical.com/content.aspx?aid=1100432596
RD 2024/04/19
AB The  main  indications  for  medical  intervention  for  children  with  pectus  carinatum  are  severity  of  symptoms  and  the  degree  to  which  the  deformity  interferes  with  activities.  This  is  a  subjective  decision-making  process  that  requires  the  input  of  the  surgeon,  parent,  and  adolescent.Surgical  repair  and  bracing  can  be  effective  treatments  of  pectus  carinatum.Newer  approaches  include  minimizing  the  extent  of  cartilage  resection  and  thoracoscopic  and  subpectoral  cartilage  resection  using  minimally  invasive  techniques.Surgical  intervention  on  the  chest  is  indicated  for  patients  with  Poland  syndrome  and  functional  impairment,  mainly  those  with  aplastic  ribs.  In  less  severe  cases,  surgical  repair  to  the  chest  is  mainly  for  cosmesis.Several  surgical  approaches  have  been  used  to  address  the  thoracic  insufficiency  associated  with  thoracic  deformity  syndromes,  but  the  outcomes  are  generally  poor.  More  promising  are  recent  reports  of  procedures  using  vertical  expandable  prosthetic  titanium  ribs.