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].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
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.
Krasopoulos G, Goldstraw P. Minimally invasive repair of pectus excavatum deformity. Eur J Cardiothorac Surg. 2011;39(2):149–58.
Nuss D, Kelly RE. Minimally invasive surgical correction of chest wall deformities in children (nuss procedure). Adv Pediatr. 2008;55(1):395–410.
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.
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.
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.
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.
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.
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.
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.
Guntheroth WG, Spiers PS. Cardiac function before and after surgery for pectus excavatum. Am J Cardiol. 2007;99(12):1762–4.
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.
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.
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.
Pilegaard HK. Nuss technique in pectus excavatum: a mono-institutional experience. J Thorac Dis. 2015;7(Suppl 2):S172–6.
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.
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.
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.
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.
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.
Chin EF, Adler RH. The surgical treatment of pectus excavatum (funnel chest). Br Med J. 1954;1(4870):1064–6.
Murray J. Correction of pectus excavatum by synthetic subcutaneous implant. American Society of Plastic and Reconstructive Surgery; 1965.
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.
Marks M, Argenta L, Lee D. Silicone implant correction of pectus excavatum: indications and refinement in technique. Plast Reconstr Surg. 1984:74, 52–8.
Johnson PE. Refining silicone implant correction of pectus excavatum through computed tomography. Plast Reconstr Surg. 1996;97(2):445.
Mendelson B, Masson JK. Silicone implants for contour deformities of the trunk. Plast Reconstr Surg. 1977;59(4):538–44.
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.
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.
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.
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.
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.
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.
Einsiedel E, Clausner A. Funnel chest. Psychological and psychosomatic aspects in children, youngsters, and young adults - ProQuest. J Card Surg. 1999;40:733–6.
Frantz FW. Indications and guidelines for pectus excavatum repair. Curr Opin Pediatr. 2011;23(4):486–91.
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.
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.
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.
Haecker F-M, Sesia S. Non-surgical treatment of pectus excavatum. J Visc Surg. 2016;2:63.
Pereira LH, Sterodimas A. Free fat transplantation for the aesthetic correction of mild pectus excavatum. Aesthetic Plast Surg. 2008;32(2):393–6.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights 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)