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Bone Chip Plastic Repair of Congenital Chest Deformities

Bone Chip Plastic Repair of Congenital Chest Deformities Abstract In the year 1594, Bauhinus described in the early medical literature a seven-year-old boy with a marked depression of the sternum and ensiform cartilage.1 This was the first clinical treatise on the congenital and developmental deformities of the anterior chest wall which have since been generally classified into two categories: the depression deformity (pectus excavatum) and the protrusion deformity (pectus carinatum). Not until 1911 was surgical repair of this malformation attempted,2 and only in recent years have adequate surgical corrective techniques been developed. This paper presents bone chip plastic reconstruction as a simplified operative procedure for an anatomical, physiological, and functional correction of these congenital chest deformities. Classification and Etiology Pectus excavatum is a funnel-shaped depression of the anterior chest wall whose deep apex is the xiphoid and whose walls are the posteriorly displaced sternum and attached costal cartilages. Its pattern can be symmetrical or asymmetrical in which References 1. Bauhinus, I.: Sterni cum costis ad interna reflexio natiua, spirandi difficultatis causea: Observationum rarum, novarum, admirabilium et monstrosarum, Ioannes Schenck a Frafenberg, Tomus I, librum II (observatio 264) 507, Frankfurt, 1600. 2. Meyer, L.: Zur chirurgischen Behandlung der angeborenen Trichterbrust , Verh Berlin Med Ges 42:364, 1911. 3. Lester, C. W.: Pigeon Breast, Funnel Chest, and Other Congenital Deformities of the Chest , JAMA 156:1063, 1954.Crossref 4. Lester, C. W.: The Etiology and Pathogenesis of Funnel Chest, Pigeon Breast and Related Deformities of the Anterior Chest Wall , J Thorac Cardiov Surg 34:1, 1957. 5. Mahoney, E. B., and Emerson, G. L.: Surgical Treatment of the Congenital Funnel-Chest Deformity , AMA Arch Surg 67:317, 1953.Crossref 6. Lester, C. W.: Surgical Treatment of Protrusion Deformities of the Sternum and Costal Cartilages (Pectus Carinatum, Pigeon Breast) , Ann Surg 153:441, 1961.Crossref 7. Ochsner, A., and DeBakey, M.: Chone-Chondrosternon: Report of a Case and Review of the Literature , J Thorac Cardiov Surg 8:469, 1939. 8. Brown, A. L.: Pectus Excavatum (Funnel Chest): Anatomic Basis, Surgical Treatment of Incipient Stage in Infancy, and Correction of Deformity Fully Developed Stage , J Thorac Cardiov Surg 9:1641939. 9. Ravitch, M. M.: The Operative Correction of Pectus Carinatum (Pigeon Breast) , Ann Surg 151:705, 1960.Crossref 10. Dailey, J. E.: Repair of Funnel Chest Using Substernal Osteoperiosteal Rib Graft Strut: Report of a Case With 4 Year Follow-Up , JAMA 150:1203, 1952.Crossref 11. Prudden, J. F.; Inoue, T.; and Ocampo, L.: Subcutaneous Cartilage Pellets: Their Effect on Wound Tensile Strength , Arch Surg 85:245, 1962.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Bone Chip Plastic Repair of Congenital Chest Deformities

Archives of Surgery , Volume 86 (6) – Jun 1, 1963

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Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1963.01310120058010
Publisher site
See Article on Publisher Site

Abstract

Abstract In the year 1594, Bauhinus described in the early medical literature a seven-year-old boy with a marked depression of the sternum and ensiform cartilage.1 This was the first clinical treatise on the congenital and developmental deformities of the anterior chest wall which have since been generally classified into two categories: the depression deformity (pectus excavatum) and the protrusion deformity (pectus carinatum). Not until 1911 was surgical repair of this malformation attempted,2 and only in recent years have adequate surgical corrective techniques been developed. This paper presents bone chip plastic reconstruction as a simplified operative procedure for an anatomical, physiological, and functional correction of these congenital chest deformities. Classification and Etiology Pectus excavatum is a funnel-shaped depression of the anterior chest wall whose deep apex is the xiphoid and whose walls are the posteriorly displaced sternum and attached costal cartilages. Its pattern can be symmetrical or asymmetrical in which References 1. Bauhinus, I.: Sterni cum costis ad interna reflexio natiua, spirandi difficultatis causea: Observationum rarum, novarum, admirabilium et monstrosarum, Ioannes Schenck a Frafenberg, Tomus I, librum II (observatio 264) 507, Frankfurt, 1600. 2. Meyer, L.: Zur chirurgischen Behandlung der angeborenen Trichterbrust , Verh Berlin Med Ges 42:364, 1911. 3. Lester, C. W.: Pigeon Breast, Funnel Chest, and Other Congenital Deformities of the Chest , JAMA 156:1063, 1954.Crossref 4. Lester, C. W.: The Etiology and Pathogenesis of Funnel Chest, Pigeon Breast and Related Deformities of the Anterior Chest Wall , J Thorac Cardiov Surg 34:1, 1957. 5. Mahoney, E. B., and Emerson, G. L.: Surgical Treatment of the Congenital Funnel-Chest Deformity , AMA Arch Surg 67:317, 1953.Crossref 6. Lester, C. W.: Surgical Treatment of Protrusion Deformities of the Sternum and Costal Cartilages (Pectus Carinatum, Pigeon Breast) , Ann Surg 153:441, 1961.Crossref 7. Ochsner, A., and DeBakey, M.: Chone-Chondrosternon: Report of a Case and Review of the Literature , J Thorac Cardiov Surg 8:469, 1939. 8. Brown, A. L.: Pectus Excavatum (Funnel Chest): Anatomic Basis, Surgical Treatment of Incipient Stage in Infancy, and Correction of Deformity Fully Developed Stage , J Thorac Cardiov Surg 9:1641939. 9. Ravitch, M. M.: The Operative Correction of Pectus Carinatum (Pigeon Breast) , Ann Surg 151:705, 1960.Crossref 10. Dailey, J. E.: Repair of Funnel Chest Using Substernal Osteoperiosteal Rib Graft Strut: Report of a Case With 4 Year Follow-Up , JAMA 150:1203, 1952.Crossref 11. Prudden, J. F.; Inoue, T.; and Ocampo, L.: Subcutaneous Cartilage Pellets: Their Effect on Wound Tensile Strength , Arch Surg 85:245, 1962.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jun 1, 1963

References

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