The Surgical Treatment of Chondrosternal Prominence (Pectus Carinatum)

Robicsek, Francis; Sanger, Paul W.; Taylor, Frederick H.; Thomas, Malcolm

doi:10.1016/s0022-5223(19)32839-9

Cited by 56 publications

(6 citation statements)

References 13 publications

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“…5 There are three types of the deformity, namely, chondromanubrial, chondrogladiolar and a lateral variety which is rare. 6 In the latter, it is the protrusion of costal cartilages which dominates the clinical picture. Our patient belonged to this type.…”

Section: Discussionmentioning

confidence: 99%

Pectus carinatum

Dogra

Singh

Langer

2005

Indian J Plast Surg

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Pectus carinatum is an uncommon congenital anomaly. Surgical correction for the deformity is infrequently sought but is usually very rewarding. There are three types of the deformity, viz. chondro- gladiolar, chondro-manubrial and the lateral variety, of which the latter is the most rare. We present a fifteen year girl who had pectus carinatum of the lateral variety involving the left second to the eighth costo-chondral junctions. The indication for surgical intervention was purely aesthetic. Subperichondrial excision of the lateral halves of the affected costal cartilages and shaving of the adjacent ribs was done. The post-operative recovery was uneventful and the deformity was corrected satisfactorily.

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Section: Discussionmentioning

confidence: 99%

Pectus carinatum

Dogra

Singh

Langer

2005

Indian J Plast Surg

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“…Open resective techniques: The Ravitch, [12] Robicsek, [19] Willital [21] and Welch [20] were the most commonly used open resective techniques prior to Nuss et al 's [13] first report of minimally invasive surgery for pectus excavatum.…”

Section: Resective Techniquesmentioning

confidence: 99%

“…Ravitch's [12] first report of an open correction of a pectus carinatum deformity established a series of steps, including cartilage resection of the ribs, sternum osteotomies and fixation. Robicsek et al [19] reported an upper sternal osteotomy and resection of its lower angulated portion and the xiphoid process. Shamberger and Welch [20] reported on their extensive experience using bilateral cartilage resection, even in cases of pectus carinatum, as well as various osteotomies, depending on the type of sternal deformity.…”

Section: Resective Techniquesmentioning

confidence: 99%

Pectus carinatum: When less is more

Martinez-Ferro¹,

Bellia-Munzon²,

Schewitz

et al. 2019

Afr J Thorac Crit Care Med

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“…The overall prevalence of PC is 0.6%, and it is more common in men. Symptoms in most patients are vague and may include retarded growth, exertional or chronic dyspnoea, asthmatic attacks and palpitations [ 5 ]. Furthermore, patients may suffer from a poor self-image and a lower quality of life due to cosmetic issues [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of surgical treatment of pectus carinatum on cardiopulmonary function: a prospective study

Frari

Sigl

Schwabegger

et al. 2020

European Journal of Cardio-Thoracic Surgery

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OBJECTIVES The frequency of sternochondroplasty in cases of pectus carinatum (PC) has increased due to greater surgeon experience and modified surgical techniques. PC deformity does not usually cause cardiopulmonary malfunction or impairment. However, whether cardiopulmonary function changes after surgical repair remains a matter of controversy. The aim of our prospective study was to determine if surgery changes preoperative cardiopulmonary function. METHODS Nineteen patients (16 males, 3 females) were enrolled in a prospective, open-label, single-arm, single-centre clinical trial (Impact of Surgical Treatments of Thoracic Deformation on Cardiopulmonary Function) (NCT02163265) between July 2013 and January 2017. All patients underwent PC repair via a modified Ravitch procedure and wore a lightweight, patient-controlled chest brace for 8 weeks postoperatively (the Innsbruck protocol). The average follow-up surgical examination was 8.3 months after surgery. In all enrolled patients, before surgery and not before 6 months postoperatively chest X-ray, 3-dimensional volume-rendered computed tomography thorax imaging, cardiopulmonary function tests with stepwise cycle spiroergometry (sitting and supine position) and Doppler echocardiography were performed; questionnaires about daily physical activity were also completed. RESULTS Fourteen patients (aged 16.3 ± 2.6 years at study entry) completed the study. Changes in submaximal and peak power output were not detected during sitting, or when in the supine position. Also, no clinically relevant postoperative changes in spirometry or echocardiography were noted. CONCLUSIONS Our findings confirm that surgical correction of PC does not impair cardiopulmonary function at rest or during physical exercise. Clinical registration number clinicaltrials.gov NCT02163265.

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The Surgical Treatment of Chondrosternal Prominence (Pectus Carinatum)

Cited by 56 publications

References 13 publications

Pectus carinatum

Pectus carinatum

Pectus carinatum: When less is more

Impact of surgical treatment of pectus carinatum on cardiopulmonary function: a prospective study

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