Singh S V
Thorax. 1980 Sep;35(9):700-2. doi: 10.1136/thx.35.9.700.
This paper contains an analysis of the long-term results in 85 patients who had pectus excavatum or carinatum deformities repaired at the North Middlesex Hospital between 1951 and 1977. Seventy-seven patients had operations for correction of pectus excavatum and eight for pectus carinatum. A variety of surgical techniques was used. In the excavatum deformities the best results were obtained by the extensive resection of all deformed cartilages, the correction of the sternal deformity by a simple transverse wedge osteotomy, and by stabilising the chest with a stainless steel plate. For pectus carinatum, the involved cartilages were resected and an osteotomy of the sternum was performed. We preferred in most cases to stabilise the chest wall with a metal strut in this deformity as well. The best cosmetic results were achieved by the use of a stainless steel plate passed beneath the sternum and left for not more than six months.
本文分析了1951年至1977年间在北米德尔塞克斯医院接受漏斗胸或鸡胸畸形修复手术的85例患者的长期结果。77例患者接受了漏斗胸矫正手术，8例接受了鸡胸矫正手术。采用了多种手术技术。对于漏斗胸畸形，通过广泛切除所有变形软骨、简单的横向楔形截骨矫正胸骨畸形以及用不锈钢板稳定胸部可获得最佳效果。对于鸡胸，切除受累软骨并进行胸骨截骨术。在大多数情况下，我们也倾向于用金属支柱稳定这种畸形的胸壁。通过在胸骨下方放置一块不锈钢板并留置不超过六个月可获得最佳的美容效果。
