Advertisement

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

Chapter
  • 292 Downloads

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 to check access.

Supplementary material

Video 3.1

(MOV 559346 kb)

978-3-030-05108-2_3_MOESM2_ESM.docx (9.9 mb)
Video 3.2 (DOCX 10146 kb)
978-3-030-05108-2_3_MOESM3_ESM.pdf (1.4 mb)
Video 3.3 (PDF 1459 kb)

References

  1. 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.CrossRefGoogle Scholar
  2. 2.
    Krasopoulos G, Goldstraw P. Minimally invasive repair of pectus excavatum deformity. Eur J Cardiothorac Surg. 2011;39(2):149–58.CrossRefGoogle Scholar
  3. 3.
    Nuss D, Kelly RE. Minimally invasive surgical correction of chest wall deformities in children (nuss procedure). Adv Pediatr. 2008;55(1):395–410.CrossRefGoogle Scholar
  4. 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.CrossRefGoogle Scholar
  5. 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.CrossRefGoogle Scholar
  6. 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.CrossRefGoogle Scholar
  7. 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.PubMedPubMedCentralGoogle Scholar
  8. 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.CrossRefGoogle Scholar
  9. 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.CrossRefGoogle Scholar
  10. 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.CrossRefGoogle Scholar
  11. 11.
    Guntheroth WG, Spiers PS. Cardiac function before and after surgery for pectus excavatum. Am J Cardiol. 2007;99(12):1762–4.CrossRefGoogle Scholar
  12. 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.CrossRefGoogle Scholar
  13. 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.CrossRefGoogle Scholar
  14. 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.CrossRefGoogle Scholar
  15. 15.
    Pilegaard HK. Nuss technique in pectus excavatum: a mono-institutional experience. J Thorac Dis. 2015;7(Suppl 2):S172–6.PubMedPubMedCentralGoogle Scholar
  16. 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.CrossRefGoogle Scholar
  17. 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.CrossRefGoogle Scholar
  18. 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.CrossRefGoogle Scholar
  19. 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. 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.CrossRefGoogle Scholar
  21. 21.
    Chin EF, Adler RH. The surgical treatment of pectus excavatum (funnel chest). Br Med J. 1954;1(4870):1064–6.CrossRefGoogle Scholar
  22. 22.
    Murray J. Correction of pectus excavatum by synthetic subcutaneous implant. American Society of Plastic and Reconstructive Surgery; 1965.Google Scholar
  23. 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. 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. 25.
    Johnson PE. Refining silicone implant correction of pectus excavatum through computed tomography. Plast Reconstr Surg. 1996;97(2):445.CrossRefGoogle Scholar
  26. 26.
    Mendelson B, Masson JK. Silicone implants for contour deformities of the trunk. Plast Reconstr Surg. 1977;59(4):538–44.CrossRefGoogle Scholar
  27. 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.CrossRefGoogle Scholar
  28. 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.CrossRefGoogle Scholar
  29. 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.CrossRefGoogle Scholar
  30. 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.CrossRefGoogle Scholar
  31. 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. 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.CrossRefGoogle Scholar
  33. 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.Google Scholar
  34. 34.
    Frantz FW. Indications and guidelines for pectus excavatum repair. Curr Opin Pediatr. 2011;23(4):486–91.CrossRefGoogle Scholar
  35. 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.CrossRefGoogle Scholar
  36. 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.CrossRefGoogle Scholar
  37. 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.CrossRefGoogle Scholar
  38. 38.
    Haecker F-M, Sesia S. Non-surgical treatment of pectus excavatum. J Visc Surg. 2016;2:63.CrossRefGoogle Scholar
  39. 39.
    Pereira LH, Sterodimas A. Free fat transplantation for the aesthetic correction of mild pectus excavatum. Aesthetic Plast Surg. 2008;32(2):393–6.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Plastic Surgery DepartmentRangueil Hospital, Toulouse University HospitalToulouseFrance
  2. 2.Thoracic Surgery DepartmentLarrey Hospital, Toulouse University HospitalToulouseFrance
  3. 3.AnatomikModelingToulouseFrance

Personalised recommendations

Cite chapter

Buy options