Advertisement

Breasts and Pectus Excavatum

Chapter

Abstract

Pectus excavatum, or “funnel chest,” is the most common congenital malformation of the thorax. In the literature, the sex ratio is mostly 5 men to 1 woman; in our 25-year experience of 600 cases, it was 3 men to 2 women owing to the quality of our plastic surgeon and the specific recruitment of breast anomalies due partly or totally to pectus excavatum.

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

References

  1. 1.
    Chavoin JP. Plastic and reconstructive surgery of walls and borders [in French]. Paris: Elsevier Masson SAS Ed; 2009.Google Scholar
  2. 2.
    Chavoin JP. Plastic surgery of the breast [in French]. Paris: Elsevier Masson SAS Ed; 2011.Google Scholar
  3. 3.
    Bricout N. Chest morphology and breast augmentation [in French]. Ann Chir Plast Esthet. 2005;50:441–50.CrossRefGoogle Scholar
  4. 4.
    Horch RE, Stoelben E, Carbon R, Sultan AA, Bach AD, Kneser U. Pectus excavatum breast and chest deformity: indications for aesthetic plastic surgery in a multicenter experience. Aesthet Plast Surg. 2006;30:403–11.CrossRefGoogle Scholar
  5. 5.
    Moscona RA, Fodor L. How to perform breast augmentation safety for a pectus excavatum patient. Aesthet Plast Surg. 2011;35(2):198–202.CrossRefGoogle Scholar
  6. 6.
    Ho Quoc C, Chaput B, Garrido I, Andre A, Grolleau J-L, Chavoin J-P. Management of breast asymmetry associated with primary funnel chest [in French]. Ann Chir Plast Esthet. 2013;58:54–9.CrossRefGoogle Scholar
  7. 7.
    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
  8. 8.
    Chavoin JP, André A, Bozonnet E, et al. Mammary implant selection or chest implants fabrication with computer help [in French]. Ann Chir Plast Esthet. 2010;55:471–80.CrossRefGoogle Scholar
  9. 9.
    Hodgkinson DJ. The management of anterior chest wall deformity in patients presenting for breast augmentation. Plast Reconstr Surg. 2002;109:1714–23.CrossRefGoogle Scholar
  10. 10.
    Hodgkinson DJ. Chest wall implants: their use for pectus excavatum, pectoralis muscle tears, Poland’s syndrome, and muscular insufficiency. Aesthet Plast Surg. 1997;21:7–15.CrossRefGoogle Scholar
  11. 11.
    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
  12. 12.
    Fonkalsrud EW. Management of pectus chest deformities in female patients. Am J Surg. 2004;187:192–7.CrossRefGoogle Scholar

Bibliography

  1. 1.
    Chavoin JP. Plastic and reconstructive surgery of walls and borders [in French]. Paris, France: Elsevier Masson SAS; 2009.Google Scholar
  2. 2.
    Hong JY, Suh SW, Park HJ, Kim YH, Park JH, Park SY. Correlations of adolescent idiopathic scoliosis and pectus excavatum. J Pediatr Orthop. 2011;31:870–4.CrossRefGoogle Scholar
  3. 3.
    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;30:637–43.CrossRefGoogle Scholar
  4. 4.
    Guntheroth WG, Spiers PS. Cardiac function before and after surgery for pectus excavatum. Am J Cardiol. 2007;99:1762–4.CrossRefGoogle Scholar
  5. 5.
    Poupon M, Duteille F, Casanova D, Caye N, Magalon G, Pannier M. Pectus excavatum: what treatment in plastic surgery? About 10 cases [in French]. Ann Chir Plast Esthet. 2008;53:246–54.CrossRefGoogle Scholar
  6. 6.
    Bricout N. Chest morphology and breast augmentation [in French]. Ann Chir Plast Esthet. 2005;50:441–50.CrossRefGoogle Scholar
  7. 7.
    Chin EF, Adler RH. The surgical treatment of pectus excavatum. Br Med J. 1954;1:1064–6.CrossRefGoogle Scholar
  8. 8.
    Spear SL, Pelletiere CV, Lee ES, Grotting JC. Anterior thoracic hypoplasia: a separate entity from Poland syndrome. Plast Reconstr Surg. 2004;113:69–79.CrossRefGoogle Scholar
  9. 9.
    André A, Dahan M, Bozonnet E, Garrido I, Grolleau JL, Chavoin JP. Pectus excavatum: correction using the filling technique by a customized silicone implant in retromuscular position [in French]. In: Surgical techniques: plastic reconstructive and aesthetic surgery. Paris, France: EMC (Elsevier Masson SAS); 2010. p. 45–671.  https://doi.org/10.1016/S1286-9325(10)46685-6.
  10. 10.
    Chavoin JP, André A, Bozonnet E, et al. Mammary implant selection or chest implants fabrication with computer help [in French]. Ann Chir Plast Esthet. 2010;55:471–80.CrossRefGoogle Scholar
  11. 11.
    Médard de Chardon V, Balaguer T, Chignon-Sicard B, Ihrai T, Lebreton E. Constitutional asymmetries in aesthetic breast augmentation: incidence, postoperative satisfaction and surgical options [in French]. Ann Chir Plast Esthet. 2009;54:340–7.CrossRefGoogle Scholar
  12. 12.
    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. Aesthet Plast Surg. 2006;30:403–11.CrossRefGoogle Scholar
  13. 13.
    Hodgkinson DJ. The management of anterior chest wall deformity in patients presenting for breast augmentation. Plast Reconstr Surg. 2002;109:1714–23.CrossRefGoogle Scholar
  14. 14.
    Hodgkinson DJ. Chest wall implants: their use for pectus excavatum, pectoralis muscle tears, Poland’s syndrome, and muscular insufficiency. Aesthet Plast Surg. 1997;21:7–15.CrossRefGoogle Scholar
  15. 15.
    Beier JP, Weber PG, Reingruber B, et al. Aesthetic and functional correction of female, asymmetric funnel chest—a combined approach. Breast. 2009;18:60–5.CrossRefGoogle Scholar
  16. 16.
    Fonkalsrud EW. Management of pectus chest deformities in female patients. Am J Surg. 2004;187:192–7.CrossRefGoogle Scholar
  17. 17.
    Snel BJ, Spronk CA, Werker PM, van der Lei B. Pectus excavatum reconstruction with silicone implants longterm results and a review of the English-language literature. Ann Plast Surg. 2009;62:205–9.CrossRefGoogle Scholar
  18. 18.
    Haecker FM. The vacuum bell for conservative treatment of pectus excavatum: the Basle experience. Pediatr Surg Int. 2011;27:623–7.CrossRefGoogle Scholar
  19. 19.
    Pereira LH, Sterodimas A. Free fat transplantation for the aesthetic correction of mild pectus excavatum. Aesthet Plast Surg. 2008;32:393–6.CrossRefGoogle Scholar
  20. 20.
    Delay E, Ho Quoc C, Garson S, Toussoun G, Sinna R. Autologous breast reconstruction by musculo-cutaneous-fatty pedicled latissimus dorsi flap [in French]. In: Surgical techniques: plastic reconstructive and aesthetic surgery. Paris, France: EMC (Elsevier Masson SAS); 2010. p. 45–665-C.Google Scholar
  21. 21.
    Delay E, Moutran M, Toussoun G, Ho Quoc C, Garson S, Sinna R. The role of fat transfer in breast reconstruction [in French]. In: Surgical techniques: plastic reconstructive and aesthetic surgery. Paris, France: EMC (Elsevier Masson SAS); 2011. p. 45–665-D.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Plastic Surgery DepartmentRangueil Hospital, Toulouse University HospitalToulouseFrance
  2. 2.St Andrew’s Centre for Plastic Surgery and BurnsChelmsfordUK
  3. 3.Plastic and Reconstructive Surgery DepartmentAmiens Picardie University HospitalAmiensFrance
  4. 4.AnatomikModeling, Amphipolis Business CentreToulouseFrance

Personalised recommendations

Cite chapter

Buy options