Meissner F, Bennek J, Gottschalk M
Zentralbl Chir. 1977;102(23):1432-40.
Analysing 199 cases of funnel chest operations the following proposals are to be discussed: early operation of boys in a modified Ravitch-technique with transverse osteotomy of the anterior sternum-wall, resection of the xiphoid process and fastening of the perichondrium to the pectoral muscles. The cosmetic indication excludes a late operation. If any late operations are performed they should be considered only for girls. Stabilisers should be used only in case of later operations, recurrences and asymmetrical forms. No operation should be performed in case of genetic defects (malformationsyndrome, flat-chest and channel-chest). The therapeutic results should be made objective by means of the sagittal inner thorax-diameter after Stucki. The submammary incision should be omitted.
通过分析199例漏斗胸手术病例，讨论以下建议：对男孩采用改良Ravitch技术早期手术，即胸骨前壁横向截骨、切除剑突并将软骨膜固定于胸肌。美容指征排除晚期手术。若进行晚期手术，仅应考虑用于女孩。仅在晚期手术、复发及不对称畸形的情况下使用稳定器。存在遗传缺陷（畸形综合征、扁平胸和槽状胸）时不应进行手术。应通过施图基（Stucki）后胸部矢状内径使治疗结果客观化。应省略乳房下切口。
