Journal of Chest Surgery

  • 제49권3호
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  • Pages.214-217
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  • 2016
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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A Case of Successful Surgical Repair for Pectus Arcuatum Using Chondrosternoplasty

  • Kim, Sang Yoon (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Park, Samina (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Kim, Eung Rae (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Park, In Kyu (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Kim, Young Tae (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Kang, Chang Hyun (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital)
  • 투고 : 2015.08.17
  • 심사 : 2015.10.12
  • 발행 : 2016.06.05
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초록

Pectus arcuatum is a rare complex chest wall deformity. A 31-year-old female presented with a severely protruding upper sternum combined with a concave lower sternum. We planned a modified Ravitch-type operation. Through vertical mid-sternal incision, chondrectomies were performed from the second to fifth costal cartilages, saving the perichondrium. Horizontal osteotomy was performed in a wedge shape on the most protruding point, and followed by an additional partial osteotomy at the most concaved point. The harvested wedge-shape bone fragments were minced and re-implanted to the latter osteotomy site. The osteotomized sternum was fixed with multiple wirings. With chondrosternoplasty, a complex chest wall deformity can be corrected successfully.

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참고문헌

  1. Schwabegger AH. Congenital thoracic wall deformities: diagnosis, therapy and current developments. Vienna: Springer; 2011.
  2. Robicsek F, Watts LT, Fokin AA. Surgical repair of pectus excavatum and carinatum. Semin Thorac Cardiovasc Surg 2009;21:64-75. https://doi.org/10.1053/j.semtcvs.2009.03.002
  3. Shamberger RC, Welch KJ. Surgical correction of pectus carinatum. J Pediatr Surg 1987;22:48-53. https://doi.org/10.1016/S0022-3468(87)80014-3
  4. Wurtz A, Rousse N, Benhamed L, et al. Simplified open repair for anterior chest wall deformities: analysis of results in 205 patients. Orthop Traumatol Surg Res 2012;98:319-26. https://doi.org/10.1016/j.otsr.2011.11.005
  5. Lee SY, Oh JY, Lee SJ, Lee CS. A modified technique for pectus carinatum surgery: partial costal cartilage resection and pre-sternal compression with using a stainless steel bar. Korean J Thorac Cardiovasc Surg 2008;41:742-6.

피인용 문헌

  1. Towards a CAD-based automatic procedure for patient specific cutting guides to assist sternal osteotomies in pectus arcuatum surgical correction vol.6, pp.1, 2016, https://doi.org/10.1016/j.jcde.2018.01.001
  2. Utilidad de la tomografía multicorte en el tratamiento quirúrgico del pecho arcuato en niños vol.79, pp.3, 2016, https://doi.org/10.35366/96653