Abstract
Among chest wall deformities, pectus carinatum has not received the same attention as has pectus excavatum. As a consequence, patients with pectus carinatum are rarely referred for surgical 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 requests for a general medical evaluation. The diagnosis is clinical and visual, and details are obtained through chest X-rays and computed tomography. The treatment is based on orthopedic and surgical procedures. For individuals of any age with a rigid chest wall, surgery is indicated for aesthetic reasons. Several open and minimally invasive techniques exist and have been extensively described. The surgical principle of minimally invasive correction is marked by the extra-thoracic placement of a metal bar and the imposition of downward pressure on the sternum with fixation of the bar to the ribs bilaterally.
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References
Cobben JM, Oostra RJ, van Dijk FS. Pectus excavatum and carinatum. Eur J Med Genet. 2014 Aug;57(8):414–7.
Marlos de Souza C, Paulo de Souza Fonseca G. Pectus carinatum. J Bras Pneumol. 2007;33(4):463–74.
Ridley LJ, Han J, Ridley WE, Xiang H. Pectus carinatum: chest deformity. J Med Imaging Radiat Oncol. 2018;62(Suppl 1):147.
Fortmann C, Petersen C. Surgery for deformities of the thoracic wall: no more than strengthening the patient’s self-esteem? Eur J Pediatr Surg. 2018;28(4):355–60.
Emil S. Current options for the treatment of pectus carinatum: when to brace and when to operate? Eur J Pediatr Surg. 2018;28(4):347–54.
Buziashvili D, Gopman JM, Weissler H, Bodenstein L, Kaufman AJ, Taub PJ. An evidence-based approach to management of pectus excavatum and carinatum. Ann Plast Surg. 2019;82(3):352–8.
De Beer SA, Blom YE, Lopez M, de Jong JR. Measured dynamic compression for pectus carinatum: a systematic review. Semin Pediatr Surg. 2018;27(3):175–82.
Tarhan T, Meurer A, Tarhan O. Combined extra-/intrathoracic correction of pectus carinatum and other asymmetric chest wall deformities: a novel technique. Oper Orthop Traumatol. 2018;30(6):469–78.
Özkaya M, Bilgin M. Minimally invasive repair of pectus carinatum by modification of the Abramson technique. Wideochir Inne Tech Maloinwazyjne. 2018;13(3):383–38.
Tse KM, Tan LB, Lee SJ, Rasheed MZ, Tan BK, Lee HP. Feasibility of using computer simulation to predict the postoperative outcome of the minimally invasive Nuss procedure: simulation prediction vs. postoperative clinical observation. J Plast Reconstr Aesthet Surg. 2018;71(10):1496–506.
Young S, Lau ST, Shaul DB, Vazquez WD, Yoo EY, Sydorak RM. A new technique in complex chest wall reconstruction: open reduction and internal fixation. J Pediatr Surg. 2018;53(12):2488–90.
Kelly RE Jr, Daniel A. Outcomes, quality of life, and long-term results after pectus repair from around the globe. Semin Pediatr Surg. 2018;27(3):170–4.
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Russo, E., Bertani, A., De Monte, L., Raffaele, F. (2020). Pectus Carinatum. In: Cordova, A., Innocenti, A., Toia, F., Tripoli, M. (eds) Plastic and Cosmetic Surgery of the Male Breast. Springer, Cham. https://doi.org/10.1007/978-3-030-25502-2_5
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DOI: https://doi.org/10.1007/978-3-030-25502-2_5
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