Hodgkinson D J
Aesthetic Plast Surg. 1997 Jan-Feb;21(1):7-15. doi: 10.1007/s002669900074.
Solid customized and prefabricated silicone implants have been used by the author for 15 years in a wide range of chest wall deformities. Chest wall implants are often used in males seeking to augment a muscularly deficient or underdeveloped chest; however, their greatest use has come in a variety of deformities both congenital and acquired, such as pectus excavatum, Poland's Syndrome, and pectoralis muscle tears. The implants can be either customized using a moulage technique or are prefabricated, manufactured implants which can be modified on the operating table to repair the contour deformity. The immediate postoperative problem of seroma and subcutaneous implant "show" has been minimized by careful planning, gentle technique, deep insertion, improved patient positioning on the operating room table, and the use of oral anti-inflammatory medications. The long-term results of these implants seem very satisfactory. The patients are usually physically active, and the implants show no long-term sequelae such as seroma, infection, displacement, or rupture.
作者使用定制和预制的固体硅胶植入物治疗各种胸壁畸形已有15年。胸壁植入物常用于寻求增大肌肉发育不良或不发达胸部的男性；然而，它们的最大用途在于各种先天性和后天性畸形，如漏斗胸、波兰综合征和胸大肌撕裂。植入物既可以使用铸模技术定制，也可以是预制的、已制造好的植入物，可在手术台上进行修改以修复轮廓畸形。通过精心规划、轻柔技术、深部植入、改善患者在手术台上的体位以及使用口服抗炎药物，已将术后立即出现的血清肿和皮下植入物“外露”问题降至最低。这些植入物的长期效果似乎非常令人满意。患者通常身体活跃，植入物未出现血清肿、感染、移位或破裂等长期后遗症。
