Hisano K, Okada M
2nd Department of Surgery, Kobe University Medical School, Japan.
Kyobu Geka. 1996 Jan;49(1):4-7.
The methods of correcting funnel chest are various and many. It's necessary to select the proper method depending on the age group. For children, sternal elevation by Ravitch's procedure produces to better results without prosthesis. For adolescent patients, the elevated sternum can be maintained by Kirschner's wires. Furthermore, adult patients have severe chest wall deformities with calcificated costal cartilage. The methods sternal elevation methods cause an unsatisfactory by postoperative appearance for adult patients with funnel chest. Two adult patients, 20 and 48-year-old men, underwent the sternal turnover methods with complete sternal blood supplies. The procedures of the new method turn over the sternal body crossing bilateral internal thoracic vessels and abdominal rectal muscles. No chest wall deformities were seen and the patency of internal thoracic arteries and superior epigastric arteries was revealed by postoperative arteriography.
漏斗胸的矫正方法多种多样。有必要根据年龄组选择合适的方法。对于儿童，采用拉维奇手术进行胸骨抬高，无需假体就能取得较好效果。对于青少年患者，可用克氏针固定抬高后的胸骨。此外，成年患者的胸壁畸形严重，肋软骨钙化。对于成年漏斗胸患者，胸骨抬高方法术后外观效果不理想。两名成年男性患者，分别为20岁和48岁，接受了保留完整胸骨血供的胸骨翻转术。新方法的手术过程是将胸骨体翻转，跨过双侧胸廓内血管和腹直肌。术后血管造影显示胸廓内动脉和腹壁上动脉通畅，未见胸壁畸形。
