HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Erdoan, A. Articles by Demircan, A. Search for Related Content PubMed PubMed Citation Articles by Erdoan, A. Articles by Demircan, A. Related Collections Chest wall

Early and Long-Term Results of Surgical Repair of Pectus Excavatum

Abdullah Erdoan, MD, Arife Ayten, MD, Necdet Öz, MD, Abid Demircan, MD

Thoracic Surgery Clinic Akdeniz University Faculty of Medicine Antalya, Turkey
For reprint information contact: Abdullah Erdoan, MD Tel: 90 242 227 4343 Fax: 90 242 227 4490 email: aerdogan66{at}hotmail.com Meltem mah. Günes Sitesi, B Blok 14/57, Antalya 07050, Turkey.

From 1990 to 1998, 30 patients underwent surgery for correction of pectus excavatum. There were 19 (63%) males and 11 (37%) females, aged 4 to 32 years (mean, 12.57 years). Bilateral excision of 4 to 6 costal cartilages and sternal wedge osteotomy were performed on 27 (90%) patients, and Kirschner wires were used for substernal support in 25 (83%). A median sternotomy was carried out in males and a submammary transverse incision was preferred in females. All patients were followed up at yearly intervals. Early results were excellent in all except 2 cases: a 14-year-old boy developed contralateral sternal depression after costochondral excision without sternal elevation for correction of one-sided costochondral hyperplasia; and an 8-year-old girl in whom no Kirschner wires had been inserted developed recurrent minimal sternal depression. Long-term follow-up showed recurrent sternal depression 6 years postoperatively in a boy who had undergone surgery at 4 years old, with early removal of the Kirschner wires. It is recommended that correction of pectus excavatum should be carried out in prepubertal children, and Kirschner wires should be used for substernal support.

This article has been cited by other articles:

				K. A. Mansour, V. H. Thourani, E. A. Odessey, M. M. Durham, J. I. Miller Jr, and D. L. Miller Thirty-year experience with repair of pectus deformities in adults Ann. Thorac. Surg., August 1, 2003; 76(2): 391 - 395. [Abstract] [Full Text] [PDF]