Skip to main content
SpringerLink
Log in

Surgical correction of pectus excavatum deformity and hypomastia

  • Original Paper
  • Published:
European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

Female patients occasionally present with major pectus excavatum and hypomastia. The aim of this study was to investigate the clinical outcome of female patients who had combined surgical correction of both deformities. Since 1990, 12 young female patients underwent correction using a modelling sternochondroplasty with osteosynthesis using Borrelly’s slide fastener-handle. After 1 year, the material was removed, and the breast implants were placed in the subpectoral plane. Our investigation was based on functional, morphological, aesthetic and psychological criteria. Despite nonsignificant pulmonary function tests (p < 0.05), we noted a subjective improvement of physical capacity during exercise following pectus excavatum repair. Correction of thorax deformity increased the sternovertebral distance by a mean of 3.2 cm (range 1.5–5.5 cm) thus treating mediastinal compression. As for aesthetic results, all patients were satisfied or very satisfied. The psychological benefit was considered as phenomenal after surgical treatment. Repair of pectus excavatum by sternochondroplasty combined with correction of hypomastia for female patients suffering from a double deformity is possible with only two different operations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Al-Soufi A, Lemperle G, Exner K (1985) Treatment of funnel chest using an RTV-silastic implant. Ann Chir Plast Esthet 30:279–282

    PubMed  CAS  Google Scholar 

  2. Borrelly J, Grosdidier G, Boileau S, Wack B (1990) Plastic surgery of the thoracic wall (malformations and tumors) using a sliding splint-stapler. Ann Chir Plast Esthet 35:57–61

    PubMed  CAS  Google Scholar 

  3. Chavoin JP, Dahan M, Grolleau JL, Soubirac L, Wagner A, Foucras L, Darbas D, Pomar P (2003) Funnel chest: filling technique with deep custom made implant. Ann Chir Plast Esthet 48:67–76

    Article  PubMed  CAS  Google Scholar 

  4. Chin EF (1957) Surgery of funnel chest and congenital sternal prominence. Br J Surg 44:360–376

    Article  PubMed  CAS  Google Scholar 

  5. Dahan M, Berjaud J, Vernhet JC (1990) Radical surgical techniques for pectus excavatum. Ann Chir Plast Esthet 35:485–488

    PubMed  CAS  Google Scholar 

  6. Duhamel P, Brunel C, Le Pimpec F, Pons F, Jancovici R (2003) Correction of the congenital malformations of the front chest wall by the modelling technique of sternochondroplasty: technique and results on a series of 14 cases. Ann Chir Plast Esthet 48:77–85

    Article  PubMed  CAS  Google Scholar 

  7. Fonkalsrud EW, Bustorff-Silva J (1999) Repair of pectus excavatum and carinatum in adults. Am J Surg 177:121–124

    Article  PubMed  CAS  Google Scholar 

  8. Fonkalsrud EW, DeUgarte D, Choi E (2002) Repair of pectus excavatum and carinatum deformities in 116 adults. Ann Surg 236:304–312 (discussion 312–4)

    Article  PubMed  Google Scholar 

  9. Fonkalsrud EW (2003) Current management of pectus excavatum. World J Surg 27:502–508

    Article  PubMed  Google Scholar 

  10. Fonkalsrud EW (2004) Management of pectus chest deformities in female patients. Am J Surg 187:192–197

    Article  PubMed  Google Scholar 

  11. Haller JA Jr, Loughlin GM (2000) Cardiorespiratory function is significantly improved following corrective surgery for severe pectus excavatum. Proposed treatment guidelines. J Cardiovasc Surg (Torino) 41:125–130

    Google Scholar 

  12. Hougaard G, Svensson H, Holmqvist KG (1995) Casting the implant for reconstruction of pectus excavatum. Scand J Plast Reconstr Surg Hand Surg 29:227–231

    Article  PubMed  CAS  Google Scholar 

  13. Malek MH, Fonkalsrud EW, Cooper CB (2003) Ventilatory and cardiovascular responses to exercise in patients with pectus excavatum. Chest 124:870–882

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  15. Marks MW, Argenta LC, Lee DC (1984) Silicone implant correction of pectus excavatum: indications and refinement in technique. Plast Reconstr Surg 74:52–58

    Article  PubMed  CAS  Google Scholar 

  16. Murray JF (1965) Correction of pectus excavatum by synthetic subcutaneus implant. Américan Society of Plastic and Reconstructive Surgery, Philadelphia (October)

    Google Scholar 

  17. Nuss D, Croitoru DP, Kelly RE Jr, Goretsky MJ, Nuss KJ, Gustin TS (2002) Review and discussion of the complications of minimally invasive pectus excavatum repair. Eur J Pediatr Surg 12:230–234

    Article  PubMed  CAS  Google Scholar 

  18. Park HJ, Lee SY, Lee CS, Youm W, Lee KR (2004) The Nuss procedure for pectus excavatum: evolution of techniques and early results on 322 patients. Ann Thorac Surg 77:289–295

    Article  PubMed  Google Scholar 

  19. Ravitch MM (1956) The operative treatment of pectus excavatum. J Pediatr 48:465–472

    Article  PubMed  CAS  Google Scholar 

  20. Ravitch MM (1958) Operation for correction of pectus excavatum. Surg Gynecol Obstet 106:619–622

    PubMed  CAS  Google Scholar 

  21. Wechselberger G, Ohlbauer M, Haslinger J, Schoeller T, Bauer T, Piza-Katzer H (2001) Silicone implant correction of pectus excavatum. Ann Plast Surg 47:489–493

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Plastic Surgery, Strasbourg University Hospital, Strasbourg, France

    F. Bodin, C. Bruant-Rodier & A. Wilk

  2. Department of Thoracic Surgery, Strasbourg University Hospital, Strasbourg, France

    J. M. Wihlm

  3. Service de Chirurgie plastique et Reconstructrice, Hôpital civil-1 place de l’hôpital-B.P. N° 426, 67091, Strasbourg Cedex, France

    F. Bodin

Authors
  1. F. Bodin
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C. Bruant-Rodier
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. Wilk
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. J. M. Wihlm
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to F. Bodin.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bodin, F., Bruant-Rodier, C., Wilk, A. et al. Surgical correction of pectus excavatum deformity and hypomastia. Eur J Plast Surg 31, 15–20 (2008). https://doi.org/10.1007/s00238-007-0210-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00238-007-0210-2

Keywords

Search

Navigation