Park Hyung Joo, Gu Ja Hea, Jang Joon Chul, Dhong Eun-Sang, Yoon Eul-Sik
From the *Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital; †Department of Plastic and Reconstructive Surgery, Dankook University Hospital; ‡Department of Plastic and Reconstructive Surgery, Korea University Ansan Hospital, Ansan; and §Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Seoul, Republic of Korea.
Ann Plast Surg. 2014 Aug;73(2):190-5. doi: 10.1097/SAP.0b013e31826a1a93.
Most women with asymmetric pectus excavatum suffer from hypoplastic breasts. Hence, aesthetic correction of pectus excavatum has to address thoracic wall deformity, breast hypoplasia, and asymmetry.In retrospective series, 21 patients with a diagnosis of pectus excavatum with hypoplastic breasts were corrected using the pectus bar procedure and subpectoral augmentation mammoplasty. Results were assessed by analyzing prospectively collected data and calculating pectus indices from computed tomographic scans. At 12 months postoperatively, cosmetic evaluations were performed by the patients and by an independent, board-certified plastic surgeon using score from 0 (very poor) to 4 (very good).Cosmetic results evaluated by plastic surgeon were good (3.33 ± 0.03) and patient satisfaction was high (3.52 ± 0.03). Furthermore, indices of pectus excavatum were corrected to near normal.The authors consider that the pectus bar procedure with subpectoral augmentation mammoplasty is useful for the aesthetic correction of pectus excavatum with hypoplastic breasts.
大多数不对称漏斗胸女性患有乳房发育不全。因此，漏斗胸的美学矫正必须解决胸壁畸形、乳房发育不全和不对称问题。在回顾性系列研究中，21例诊断为漏斗胸合并乳房发育不全的患者采用胸骨牵引术和胸大肌下隆乳术进行矫正。通过分析前瞻性收集的数据并从计算机断层扫描计算漏斗胸指数来评估结果。术后12个月，由患者和一名独立的、获得委员会认证的整形外科医生进行美容评估，使用从0（非常差）到4（非常好）的评分。整形外科医生评估的美容效果良好（3.33±0.03），患者满意度较高（3.52±0.03）。此外，漏斗胸指数被矫正至接近正常。作者认为，胸骨牵引术联合胸大肌下隆乳术对漏斗胸合并乳房发育不全的美学矫正有用。
