Department of Plastic and Reconstructive Surgery, Rambam Health Care Campus, Haifa, Israel.
Aesthetic Plast Surg. 2011 Apr;35(2):198-202. doi: 10.1007/s00266-010-9583-x. Epub 2010 Sep 17.
Pectus excavatum is the most common chest wall deformity. Women with pectus excavatum may have associated hypoplastic breasts and often desire breast augmentation. This report describes how to perform breast augmentation safely for a pectus excavatum patient.
In the past 5 years, the authors have treated 11 women with hypoplastic breasts and pectus excavatum. Their ages have varied from 21 to 39 years. The women generally were healthy without cardiovascular function impairment. Four of the women had breast asymmetry, with a smaller right breast. It was decided to use wide silicone implants to augment the breast and to camouflage the chest wall deformity. The implants were placed under the pectoralis major muscle in all cases.
The follow-up period varied from 10 months to 4.5 years. No acute or late complications related to the breast augmentation were encountered. All the patients were satisfied with the result, and none desired further surgical treatment for pectus excavatum. For two patients, a small depression in the upper part of the breast was persistent after surgery due to insufficient implant coverage.
Most women with pectus excavatum desire to have the deformity corrected with minimal or no scarring. The chest is known to be an area prone to hypertrophic or keloid scars. The reported approach is simple and safe, easily camouflaging the deformity. It is a short procedure that results in high satisfaction.
漏斗胸是最常见的胸壁畸形。患有漏斗胸的女性可能存在乳房发育不良的情况，通常希望进行隆胸。本报告描述了如何为漏斗胸患者安全地进行隆胸。
在过去的 5 年中，作者治疗了 11 名乳房发育不良伴漏斗胸的女性。她们的年龄从 21 岁到 39 岁不等。这些女性通常身体健康，没有心血管功能障碍。其中 4 名女性存在乳房不对称，右侧乳房较小。决定使用宽硅胶植入物来增大乳房并掩盖胸壁畸形。所有病例均将植入物置于胸大肌下。
随访时间为 10 个月至 4.5 年。未发生与隆胸相关的急性或迟发性并发症。所有患者对结果均满意，均不希望进一步对漏斗胸进行手术治疗。对于 2 名患者，由于植入物覆盖不足，术后乳房上部仍持续存在小凹陷。
大多数患有漏斗胸的女性希望通过最小化或无疤痕来纠正畸形。胸部是已知容易发生增生性或瘢痕疙瘩的区域。报道的方法简单且安全，可轻松掩盖畸形。该手术过程较短，患者满意度高。
