Fonkalsrud E W, Follette D, Sarwat A K
Arch Surg. 1978 Dec;113(12):1433-7. doi: 10.1001/archsurg.1978.01370240055008.
The support of the lower sternum following repair of pectus excavatum using autologous perichondrium from the lower costal cartilages to supplement the standard Ravitch's repair has been used effectively in 29 children during the past 14 years. This technique helps prevent recurrent sternal depression, particularly when the operation is performed in preadolescent children. Most adolescents and adults with pectus deformities as well as patients requiring reoperation will benefit from an internal prosthesis for the sternum that supplements the perichondrial support to reduce the frequency of subsequent sternal depression. Using the described operative technique, an excellent cosmetic and functional result was obtained in 27 children. Recurrent sternal depression of mild degree that occurred in two patients in the first four months postoperatively was related to trauma and possibly to decreased vascular supply to the lower sternum but neither required additional therapy. The internal mammary vessels should be preserved with the lower sternum whenever feasible.
在过去14年中，29名儿童采用取自下肋软骨的自体软骨膜修复漏斗胸，补充标准的拉维奇修复术对下胸骨进行支撑，取得了良好效果。该技术有助于防止胸骨再次凹陷，尤其是在青春期前儿童中进行手术时。大多数患有胸壁畸形的青少年和成年人以及需要再次手术的患者，将受益于用于胸骨的内部假体，该假体可补充软骨膜支撑，以减少随后胸骨凹陷的频率。采用所述手术技术，27名儿童获得了优异的美容和功能效果。两名患者在术后头四个月出现轻度胸骨再次凹陷，这与创伤有关，也可能与下胸骨血管供应减少有关，但均无需额外治疗。只要可行，应在下胸骨处保留胸廓内血管。
