Skip to main content
SpringerLink
Log in

Pectus Excavatum Remodelling by CAD Custom-Made Silicone Implant: Experience of 600 Cases

  • Chapter
Book cover Pectus Excavatum and Poland Syndrome Surgery

  • 483 Accesses

Abstract

Pectus excavatum is the most common thoracic deformity, often familial [1]. The incidence thereof is 1/300 to 1/1000 births and the sex ratio 3:1 to 5:1 in the literature, 6:4 in our experience due to the success of women’s and asymmetric case treatments. In the absence of any cardiac or respiratory impairment, the condition is a mere morphological deformation, but with a strong psychological impact for most of the authors [2–8].

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

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 69.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 89.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Creswick HA, Stacey MW, Kelly RE, Gustin T, Nuss D, Harvey H, et al. Family study of the inheritance of pectus excavatum. J Pediatr Surg. 2006;41(10):1699–703.

    Article  PubMed  Google Scholar 

  2. Krasopoulos G, Goldstraw P. Minimally invasive repair of pectus excavatum deformity. Eur J Cardiothorac Surg. 2011;39(2):149–58.

    Article  PubMed  Google Scholar 

  3. Nuss D, Kelly RE. Minimally invasive surgical correction of chest wall deformities in children (nuss procedure). Adv Pediatr. 2008;55(1):395–410.

    Article  PubMed  Google Scholar 

  4. Lawson ML, Cash TF, Akers R, Vasser E, Burke B, Tabangin M, et al. A pilot study of the impact of surgical repair on disease-specific quality of life among patients with pectus excavatum. J Pediatr Surg. 2003;38(6):916–8.

    Article  PubMed  Google Scholar 

  5. Hong J-Y, Suh S-W, Park H-J, Kim Y-H, Park J-H, Park S-Y. Correlations of adolescent idiopathic scoliosis and pectus excavatum. J Pediatr Orthop. 2011;31(8):870–4.

    Article  PubMed  Google Scholar 

  6. Lomholt JJ, Jacobsen EB, Thastum M, Pilegaard H. A prospective study on quality of life in youths after pectus excavatum correction. Ann Cardiothorac Surg. 2016;5(5):456–65.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Steinmann C, Krille S, Mueller A, Weber P, Reingruber B, Martin A. Pectus excavatum and pectus carinatum patients suffer from lower quality of life and impaired body image: a control group comparison of psychological characteristics prior to surgical correction. Eur J Cardiothorac Surg. 2011;40(5):1138–45.

    PubMed  Google Scholar 

  8. Ji Y, Liu W, Chen S, Xu B, Tang Y, Wang X, et al. Assessment of psychosocial functioning and its risk factors in children with pectus excavatum. Health Qual Life Outcomes. 2011;9:28.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Malek MH, Berger DE, Housh TJ, Marelich WD, Coburn JW, Beck TW. Cardiovascular function following surgical repair of pectus excavatum: a metaanalysis. Chest. 2006;130(2):506–16.

    Article  PubMed  Google Scholar 

  10. Malek MH, Berger DE, Marelich WD, Coburn JW, Beck TW, Housh TJ. Pulmonary function following surgical repair of pectus excavatum: a meta-analysis. Eur J Cardiothorac Surg. 2006;30(4):637–43.

    Article  PubMed  Google Scholar 

  11. Guntheroth WG, Spiers PS. Cardiac function before and after surgery for pectus excavatum. Am J Cardiol. 2007;99(12):1762–4.

    Article  PubMed  Google Scholar 

  12. Fonkalsrud EW, Dunn JCY, Atkinson JB. Repair of pectus excavatum deformities: 30 years of experience with 375 patients. Ann Surg. 2000;231(3):443–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Del Frari B, Schwabegger AH. Clinical results and patient satisfaction after pectus excavatum repair using the MIRPE and MOVARPE technique in adults: 10-year experience. Plast Reconstr Surg. 2013;132(6):1591–602.

    Article  PubMed  Google Scholar 

  14. Kelly RE, Goretsky MJ, Obermeyer R, Kuhn MA, Redlinger R, Haney TS, et al. Twenty-one years of experience with minimally invasive repair of pectus excavatum by the Nuss procedure in 1215 patients. Ann Surg. 2010;252(6):1072–81.

    Article  PubMed  Google Scholar 

  15. Pilegaard HK. Nuss technique in pectus excavatum: a mono-institutional experience. J Thorac Dis. 2015;7(Suppl 2):S172–6.

    PubMed  PubMed Central  Google Scholar 

  16. Schwabegger AH, Del Frari B, Pierer G. Aesthetic improvement of the female breast in funnel chest deformity by surgical repair of the thoracic wall: indication or lifestyle surgery? Plast Reconstr Surg. 2012;130(2):245e.

    Article  CAS  PubMed  Google Scholar 

  17. Ho Quoc C, Delaporte T, Meruta A, La Marca S, Toussoun G, Delay E. Breast asymmetry and pectus excavatum improvement with fat grafting. Aesthet Surg J. 2013;33(6):822–9.

    Article  PubMed  Google Scholar 

  18. Chavoin JP, Dahan M, Grolleau JL, Soubirac L, Wagner A, Foucras L, et al. Funnel chest: filling technique with deep custom made implant. Ann Chir Plast Esthet. 2003;48(2):67–76.

    Article  CAS  PubMed  Google Scholar 

  19. Andre A, Bozonnet E, Dahan M, Chavoin JP. Correction chirurgicale du pectus excavatum par prothèse pariétale en silicone sur mesure. chapitre 11. In: JP. Chavoin, editor. Chirurgie plastique et reconstructrice des parois et des confins, Rapport 2009. SOFCPRE (Société Française de chirurgie Plastique Reconstructrice et esthétique). Paris: Elsevier-Masson; 2009. p. 138–57.

    Google Scholar 

  20. Chavoin J-P, Grolleau J-L, Moreno B, Brunello J, André A, Dahan M, et al. Correction of pectus excavatum by custom-made silicone implants: contribution of computer-aided design reconstruction. a 20-year experience and 401 cases. Plast Reconstr Surg. 2016;137(5):860e–71e.

    Article  CAS  PubMed  Google Scholar 

  21. Chin EF, Adler RH. The surgical treatment of pectus excavatum (funnel chest). Br Med J. 1954;1(4870):1064–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Murray J. Correction of pectus excavatum by synthetic subcutaneous implant. American Society of Plastic and Reconstructive Surgery; 1965.

    Google Scholar 

  23. Toty L, Hertzog P, Rotten D. Correction plastique du pectus excavatum par une prothèse en silastic préparée extemporanément. Rev Fr Mal Resp. 1973;11:1153–9.

    Google Scholar 

  24. Marks M, Argenta L, Lee D. Silicone implant correction of pectus excavatum: indications and refinement in technique. Plast Reconstr Surg. 1984:74, 52–8.

    Google Scholar 

  25. Johnson PE. Refining silicone implant correction of pectus excavatum through computed tomography. Plast Reconstr Surg. 1996;97(2):445.

    Article  CAS  PubMed  Google Scholar 

  26. Mendelson B, Masson JK. Silicone implants for contour deformities of the trunk. Plast Reconstr Surg. 1977;59(4):538–44.

    Article  CAS  PubMed  Google Scholar 

  27. Johan Nordquist MJ, Svensson H. Silastic implant for reconstruction of pectus excavatum: an update. Scand J Plast Reconstr Surg Hand Surg. 2001;35(1):65–9.

    Article  Google Scholar 

  28. Wechselberger G, Öhlbauer M, Haslinger J, Schoeller T, Bauer T, Piza-Katzer H. Silicone implant correction of pectus excavatum. Ann Plast Surg. 2001;47(5):489–93.

    Article  CAS  PubMed  Google Scholar 

  29. Margulis A, Sela M, Neuman R, Buller-Sharon A. Reconstruction of pectus excavatum with silicone implants. J Plast Reconstr Aesthet Surg. 2006;59(10):1082–6.

    Article  PubMed  Google Scholar 

  30. Horch RE, Stoelben E, Carbon R, Sultan AA, Bach AD, Kneser U. Pectus excavatum breast and chest deformity: indications for aesthetic plastic surgery versus thoracic surgery in a multicenter experience. Aesthetic Plast Surg. 2006;30(4):403–11.

    Article  PubMed  Google Scholar 

  31. Poupon M, Duteille F, Casanova D, Caye N, Magalon G, Pannier M. [Pectus excavatum: what treatment in plastic surgery? About 10 cases]. Ann Chir Plast Esthet. 2008;53(3):246–54.

    Google Scholar 

  32. Snel BJ, Spronk CA, Werker PMN, van der Lei B. Pectus excavatum reconstruction with silicone implants: long-term results and a review of the english-language literature. Ann Plast Surg. 2009;62(2):205–9.

    Article  CAS  PubMed  Google Scholar 

  33. Einsiedel E, Clausner A. Funnel chest. Psychological and psychosomatic aspects in children, youngsters, and young adults - ProQuest. J Card Surg. 1999;40:733–6.

    CAS  Google Scholar 

  34. Frantz FW. Indications and guidelines for pectus excavatum repair. Curr Opin Pediatr. 2011;23(4):486–91.

    Article  PubMed  Google Scholar 

  35. Kim HK, Shim JH, Choi KS, Choi YH. The quality of life after bar removal in patients after the nuss procedure for pectus excavatum. World J Surg. 2011;35(7):1656–61.

    Article  PubMed  Google Scholar 

  36. Kelly RE, Cash TF, Shamberger RC, Mitchell KK, Mellins RB, Lawson ML, et al. Surgical repair of pectus excavatum markedly improves body image and perceived ability for physical activity: multicenter study. Pediatrics. 2008;122(6):1218–22.

    Article  PubMed  Google Scholar 

  37. Schier F, Bahr M, Klobe E. The vacuum chest wall lifter: an innovative, nonsurgical addition to the management of pectus excavatum. J Pediatr Surg. 2005;40(3):496–500.

    Article  PubMed  Google Scholar 

  38. Haecker F-M, Sesia S. Non-surgical treatment of pectus excavatum. J Visc Surg. 2016;2:63.

    Article  Google Scholar 

  39. Pereira LH, Sterodimas A. Free fat transplantation for the aesthetic correction of mild pectus excavatum. Aesthetic Plast Surg. 2008;32(2):393–6.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Plastic Surgery Department, Rangueil Hospital, Toulouse University Hospital, Toulouse, France

    Jean-Pierre Chavoin, Jean-Louis Grolleau & Benoit Chaput

  2. Thoracic Surgery Department, Larrey Hospital, Toulouse University Hospital, Toulouse, France

    Marcel Dahan

  3. AnatomikModeling, 19 Rue Jean Mermoz, Toulouse, France

    Benjamin Moreno

Authors
  1. Jean-Pierre Chavoin
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Marcel Dahan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Benjamin Moreno
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jean-Louis Grolleau
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Benoit Chaput
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jean-Pierre Chavoin .

Editor information

Editors and Affiliations

  1. Plastic Surgery Department, Rangueil Hospital, Toulouse University Hospital, Toulouse, France

    Jean-Pierre Chavoin

3.1 Electronic Supplementary Material

(MOV 559346 kb)

Video 3.2

(DOCX 10146 kb)

Video 3.3

(PDF 1459 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Cite this chapter

Chavoin, JP., Dahan, M., Moreno, B., Grolleau, JL., Chaput, B. (2019). Pectus Excavatum Remodelling by CAD Custom-Made Silicone Implant: Experience of 600 Cases. In: Chavoin, JP. (eds) Pectus Excavatum and Poland Syndrome Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-05108-2_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-05108-2_3

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-05107-5

  • Online ISBN: 978-3-030-05108-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation