Summary
A method of evaluation of possible functional disturbances due to pectus excavatum is presented. With spirometric investigations and the bycicle exercise test in supine and upright position it is possible to distinguish between functional impairment caused by the deformity and a poor physical condition, which allows to select cases for osteoplasty or for augmentation. In a series of 17 cases the indication was psychosocial in 16 patients and only in 1 case was it functional. For masking the funnel deformity in situ polymerized Silastic RTV 382 is used which allows implantation by a short transverse incision over the xyphoid and gives satisfying results without undue complications.
Similar content being viewed by others
References
Bailey BN (1977) Pectus excavatum: Masking with Silastic RTV 382, vulcanized in situ. Br J Plast Surg 30:277
Baker JL (1975) Repair of concavity of the thoracic wall with sil. Elastomer implant. Plast Reconstr Surg 56:212
Baker JL Jr, Mara JE (1976) Simultaneus correction of the chest wall deformity and prosthetic augmentation mammaplasty in a case of poland-syndrome. Br J Plast Surg 29:347
Beiser GD, Egstein SE, Stampfer M, Goldstein RE, Noland SP, Lewitsky S (1972) Impairment of cardiac function in patients with pectus excavatum with improvement after operative correction. N Engl J Med 287:267
Bühlmann AA, Roussier PH (1970) Klinische Pathophysiologie der Atmung. Springer, Berlin Heidelberg New York
Conway H, Goulian D (1963) Experience with an injectable Silastic RTV 382 as a subcutaneous prosthetic material. Plast Reconstr Surg 32:294
Davis HV, Shah HH (1974) Sternal turnover operation for pectus excavatum. Am Thorac Surg 17:268
Duggelin S, Bühlmann AA (1980) Lungenvolumina und Atemwegswiderstände bei gesunden Züricher Schulkindern — Normalwerte. Helv Paediatr Acta 35:21
Fabricius I, Davidsen HG, Hansen AT (1957) Cardiac function in funnel chest. Dan Med Bull 4:251
Finger RE (1979) Simultaneus correction of pectus excavatum and breast hypoplasia. Ann Plast Surg 3:448
Gattiker H, Bühlmann AA (1966) Cardiopulmonary function and exercise tolerance in supine and sitting position in patients with pectus excavatum. Helv Med Acta 33:122
Geroulanous S, Senning A, Hahnloser P (1974) Vereinfachte Operation zur Trichterbrustkorrektur. Dtsch Med Wochenschr 99:57
Haller JA, Peters GN (1970) Pectus excavatum. Thorac Surg 60:375
Hartung H (1913) Beitrag zur Chirurgie des Brustbeins. Dtsch Z Chir 123:314
Hecker WC, Pöschl Ü, Billinger W (1977) Trichterbrust und Kielbrust. Münch Med Wochenschr 119:559
Hegemann G (1970) Operative Korrektur der Trichterbrust. Vortrag 11. Tagung der Österreichischen Gesellschaft für Chirurgie
Hümmer HP (1981) Mechanische Wirkungen der Trichterbrust. Münch Med Wochenschr 123:1739
Liese W, Buhlmann AA (1974) Arbeitskapazität und Lungenvolumina vor und nach chirurgischer Korrektur einer Trichterbrust. Schweiz Med Wochenschr 104:83
Masson JK, Payne WS, Gonzales JB (1970) Pectus excavatum: Use of preformed prosthesis for correction in the adult. Plast Reconstr Surg 46:399
Masson JK, Mendelson BC, Courtiss EH (1982) Chest wall deformities. Male aesthetic surgery. Mosby Company, St Louis Toronto London
Mikuz G, Hoinkes G, Propst A, Wilflingseder P (1982) “Silicone Lymphadenopathia” following augmentation mammaplasty. Chir Plastica 6:209
Orzalesi M, Cook CD (1965) Pulmonary function in children with pectus excavatum. Pediatr 66:898
Rauffer L, Hecht L, Landleitner B (1980) Mammaaugmentationsplasty after operation for funnel chest deformity. Aest Plast Surg 4:47
Ravitch HM (1971) The forms of cong. deformities of the chest and their treatment. Prog Pediatr Surg 3:1
Rehbein F, Wernicke HH (1957) The operative treatment of the funnel chest. Arch Dis Child 32:5
Robicsek F, Daugherty HK, Mullen DC, Harhold Jr NB, Hall DG, Jackson RD, Masters THN, Savger PW (1974) Technical considereations in management of pectus excavatum and carinatum. Ann Thorac Surg 18:551
Schaub F, Wegmann T (1954) EKG-Veränderungen bei Trichterbrust. Cardiologia 24:39
Sweet RM (1950) Thoracic surgery. Saunders, Philadelphia
Tietze (1913) Zitiert nach Härtung
Uchida J (1962) Clinical application of cross-linked dimethylpolysiloxane in restoration of breasts, muscle atrophy of infantil paralysis, funnel shaped chest etc. Jpn Plast Reconstr Surg 4:303
Wilflingseder P (1971) Osteoplastik bei der Trichterbrustkorrektur. Kongreßbericht der Österreichischen Gesellschaft für Chirurgie. Verlag Wiener Medizinische Akademie, Wien, S 153
Wilflingseder P, Propst A, Mikuz G (1974) Constrictive fibrosis following Silicone implants in mammary-augmentation. Chir Plastica (Berl) 2:215
Wilflingseder P, Propst A, Mikuz G, Hoinkes G (1976) Constrictive Fibrosis post augmentation mammaplasty. Transactions of the 6th Int Congr for Plastic and Reconstr Surg. Masson, Paris, 535
Wilflingseder P, Hoinkes G, Hussl H, Papp Ch (1982) Silicon radiation measurements around mammary type implants (animal model for evaluation of materials and implantation sites). Chir Plastica 6:189
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Bruck, J.C., Hörtnagl, H., Bauer, M. et al. A fresh approach in the treatment of pectus excavatum. Chir Plastica 6, 263–274 (1982). https://doi.org/10.1007/BF00288760
Issue Date:
DOI: https://doi.org/10.1007/BF00288760