Congenital Chest Wall Deformities: a Modified Surgical Technique

Background: Congenital chest wall deformities are the most common disorders among the other congenital diseases in thoracic surgery. Standard surgical techniques seem to be sufficient, but to prevent recurrence and complications other surgical approaches have to be chosen, such as freeing the sternu...

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Bibliographic Details
Published in:Acta chirurgica belgica 2007-06, Vol.107 (3), p.313-316
Main Authors: Isik, A. F., Tuncozgur, B., Elbeyli, L., Akar, E.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Bone Wires
Chest wall deformity
Child
Child, Preschool
Female
Funnel Chest - diagnostic imaging
Funnel Chest - surgery
General aspects
Humans
Male
Medical sciences
Osteotomy - methods
pectus excavatum
Postoperative Complications - diagnostic imaging
Radiography
Sternum - abnormalities
Sternum - diagnostic imaging
Sternum - surgery
Thoracic Wall - abnormalities
Thoracic Wall - diagnostic imaging
Thoracic Wall - surgery
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Summary:Background: Congenital chest wall deformities are the most common disorders among the other congenital diseases in thoracic surgery. Standard surgical techniques seem to be sufficient, but to prevent recurrence and complications other surgical approaches have to be chosen, such as freeing the sternum from the second rib cartilage to the costal arch, completely and bilaterally, and external application of Kirschner wire for stabilization. Patients and Methods: Between 1996 and 2005, 47 patients with congenital chest wall deformities were examined. The surgical method consists of resecting rib cartilages from the second rib up to the costal arch bilaterally and the application of Kirschner wire for the stabilization of the chest wall. Results: No mortality occurred. Three patients had complications, such as wound infection and pneumothorax. Kirschner wire was removed on the 15th day (between 10-21 days). Mean hospital stay was 16.5 days (10-23 days). Patients were followed up between 2 months and 6 years. No recurrence was observed. Conclusion: To prevent recurrence and complications for cosmetic surgery is quite important. For this reason, the surgical technique has to be carried out carefully. Kirschner wire is useful for the stabilization of the chest wall with no risk of infection, foreign body reaction, or the need for a second operation for removal.
ISSN:0001-5458
DOI:10.1080/00015458.2007.11680063