Mochizuki Yasushi, Oyama Akihiko, Kajikawa Akiyoshi
Department of Plastic and Reconstructive Surgery, St. Marianna University School of Medicine, Kanagawa, Japan.
Department of Plastic and Reconstructive Surgery, Fukushima Medical University, Fukushima, Japan.
J Plast Reconstr Surg. 2022 Jun 17;2(1):17-19. doi: 10.53045/jprs.2021-0030. eCollection 2023 Jan 27.
Surgical correction of pouter pigeon chest deformity traditionally requires invasive procedures including total removal of the affected costal cartilages and major dissection of the sternum. We present a novel minimally invasive two-stage technique that was applied to an 8-year-old girl. First, the depressed lower chest was elevated using a plate with the Nuss procedure. Then, after 30 months, simultaneously with plate removal, correction of the remaining projection of the upper chest was also performed. This involved excision of only two pairs of deformed costal cartilage and a local osteotomy at the manubriosternal joint. Intraoperative blood loss was 20 mL, and the patient was discharged 7 days postoperatively. Because both the primary and secondary stages involve manual bending of the costal cartilages, our procedure may be suitably indicated only for patients in their early teenage years.
传统上，对凸胸鸽胸畸形进行手术矫正需要采用侵入性手术，包括完全切除受影响的肋软骨以及对胸骨进行大面积解剖。我们介绍了一种应用于一名8岁女孩的新型微创两阶段技术。首先，使用钢板通过努斯手术抬高凹陷的下胸部。然后，30个月后，在取出钢板的同时，对上胸部剩余的突出部分也进行了矫正。这仅涉及切除两对变形的肋软骨以及在胸骨柄体关节处进行局部截骨术。术中失血量为20毫升，患者术后7天出院。由于第一阶段和第二阶段都涉及肋软骨的手动弯曲，我们的手术可能仅适用于青少年早期的患者。
