Barcikowski S, Zołyński K, Kowalewski J, Dryjański T
Chir Narzadow Ruchu Ortop Pol. 1989;54(4-6):329-34.
The characteristic traits of funnel chest have been presented and the clinical results of surgical treatment in 13 patients by the modified Ravitch method have been discussed. Nine results were excellent and four results were good. A marked improvement of general physical function of the patients due to the increase of respiratory system efficiency and a good cosmetic effect were found. The modification of the operation consists in additional longitudinal osteotomy of the sternum, suturing of the manubrium to the sternum shaft, non-suturing of the rib cartilages after resection, filling of the through-like groove in the reposited sternum with the fragments of the resected rib cartilages, and immobilization of the fragments of the longitudinally osteotomized sternum that are inserted crosswise with several (usually three) Kirschner wires, based on the thorax.
本文介绍了漏斗胸的特征，并讨论了采用改良Ravitch方法对13例患者进行手术治疗的临床结果。9例效果极佳，4例效果良好。发现由于呼吸系统效率提高，患者的一般身体功能有显著改善，且美容效果良好。手术改良包括额外的胸骨纵向截骨、将胸骨柄缝合至胸骨体、切除肋骨软骨后不缝合、用切除的肋骨软骨碎片填充复位胸骨中的贯通样凹槽，以及基于胸廓用数根（通常为三根）克氏针横向固定纵向截骨胸骨的碎片。
