Thoracic Surgery Unit, University of Perugia Medical School, Ospedale S. Maria della Misericordia, Perugia, Italy.
Eur J Cardiothorac Surg. 2012 Dec;42(6):e166-8. doi: 10.1093/ejcts/ezs485. Epub 2012 Aug 27.
Several techniques exist for the repair of complex pectus excavatum. The placement of retrosternal metal bars improves the results by reducing the recurrence rate, but entails several possible risks, complications and disadvantages. A new method, specifically conceived for the repair of severe, asymmetric forms in adult patients, is reported. The corrected bone is fixed in the proper position by two, patient-customized, titanium struts, externally screwed to the manubrium and sternal body. Any retrosternal bar is thus avoided, reducing possible complications, without hampering the chest wall dynamic. In this particularly difficult issue, this technique provides long-term good functional, mechanical and cosmetic results and does not entail a second surgery for struts removal.
几种技术可用于修复复杂的漏斗胸。胸骨后金属棒的放置通过降低复发率来改善结果，但需要考虑几个可能的风险、并发症和缺点。报告了一种新的方法，专门用于修复成年患者的严重、不对称形式。通过两个定制的钛支柱将矫正的骨骼固定在正确的位置，支柱外部拧到胸骨柄和胸骨体上。因此，避免了任何胸骨后棒，减少了可能的并发症，而不影响胸壁的动态。在这个特别困难的问题上，该技术提供了长期良好的功能、机械和美容效果，并且不需要进行第二次手术取出支柱。
