Chavoin J P, Facchini F, Martinot-Duquennoy V, Duteille F, Herlin C, Le Pimpec-Barthes F, Assouad J, Chevallier B, Tiffet O, Brouchet L, Leyx P, Grolleau-Raoux J L, Chaput B, Dahan M
Service de chirurgie Plastique Reconstructrice et esthétique,Centre Hospitalier Universitaire de Toulouse-Rangueil, 1, avenue Jean Pouilhès, 31059, Toulouse, France.
Service de Chirurgie Pédiatrique, Hôpital Universitaire pédiatrique Meyer, Viale Gaetano Pieraccini, 24, 50139, Florence, Italie.
Ann Chir Plast Esthet. 2022 Nov;67(5-6):393-403. doi: 10.1016/j.anplas.2022.07.009. Epub 2022 Aug 26.
The authors present a new study on 789 cases of congenital thoracic malformations including 638 pectus excavatum and 151 Poland syndromes, according to a new classification which completes Chin's one. All these malformations were treated with silicone elastomer implants. The contribution of computer-aided design and manufacturing (CAD/CAM) since 2008 is essential. The one-stage surgical protocol is precisely described. The results are impressive, permanent, for life, and complications are rare. The authors evoke a common vascular etiopathogenesis theory at the embryonic stage and question the heavy techniques of invasive remodeling that are most often unjustified.
作者们根据一项完善了钦氏分类法的新分类，对789例先天性胸廓畸形病例进行了一项新研究，其中包括638例漏斗胸和151例波兰综合征。所有这些畸形均采用硅橡胶植入物进行治疗。自2008年以来，计算机辅助设计与制造（CAD/CAM）的作用至关重要。文中精确描述了一期手术方案。结果令人印象深刻，效果持久，终身有效，且并发症罕见。作者们引出了胚胎期常见的血管病因发病理论，并对大多数情况下不合理的侵入性重塑的复杂技术提出质疑。
