CURRENT DEVELOPMENT IN THERAPY OF CONGENITAL FUNNEL CHEST_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

JI Kai , LUAN Jie.

Department of Breast Plastic and Reconstructive Surgery Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100144, P.R.China. Corresponding author: LUAN Jie, E-mail: doctorluan@hotmail.com;

Corresponding author：

Keywords：

Congenital funnel chest; Thoracoplasty; Prosthesis implantation

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

ObjectiveTo review the current development in therapy of congenital funnel chest. MethodsRecent literature concerning the development of the treatment method for congenital funnel chest was extensively reviewed and summarized. ResultsThe main therapies for congenital funnel chest are thoracoplasty (Ravitch sternum elevation procedure and minimal invasive Nuss procedure) and prosthesis implantation. The magnetic mini-mover procedure and the vacuum bell are still in the research phase. ConclusionBesides the improvement in function, the requirement in appearance after surgery is also improved in the treatment of congenital funnel chest. The minimally invasive surgery and non-invasive procedures could be expected in the future.

Citation： JI Kai,LUAN Jie.. CURRENT DEVELOPMENT IN THERAPY OF CONGENITAL FUNNEL CHEST. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(12): 1516-1518. doi: Copy

1.	19 Chang PY, Chang CH, Lai JY, et al. A method for the non-invasive assessment of chest wall growth in pectus excavatum patients. Eur J Pediatr Surg, 2010, 20(2): 82-84. 20 Haller JA Jr, Kramer SS, Lietman SA. Use of CT scans in selection of patients for pectus excavatum surgery: a prelminary report. J Pediatr Surg, 1987, 22(10): 904-906.
2.	21 Kuenzler KA, Stolar CJ. Surgical correction of pectus excavatum. Paediatr Respir Rev, 2009, 10(1): 7-11. 22 Nasr A, Fecteau A, Wales PW. Comparison of the Nuss and the Ravitch procedure for pectus excavatum repair: a meta-analysis. J Pediatr Surg, 2010, 45(5): 880-886. 23 曾骐, 张娜, 范茂槐, 等. Nuss手术与改良Ravitch手术的对比研究. 中华小儿外科杂志, 2005, 26(8): 397-399.
3.	27 Luu TD, Kogon BE, Force SD, et al. Surgery for recurrent pectus deformities. Ann Thorac Surg, 2009, 88(5): 1627-1631. 28 吉毅, 刘文英, 徐冰, 等. 非胸腔镜辅助微创Nuss手术矫治复发漏斗胸. 中国修复重建外科杂志, 2008, 22(10): 1213-1217．.
4.	32 Harrison MR, Estefan-Ventura D, Fechter R, et al. Magnetic mini-mover procedure for pectus excavatum: I. Development, design, and simulations for feasibility and safety. J Pediatr Surg, 2007, 42(1): 81-85. 33 Harrison MR, Curran PF, Jamshidi R, et al. Magnetic mini-mover procedure for pectus excavatum II: initial findings of a Food and Drug Administration-sponsored trial. J Pediatr Surg, 2010, 45(1): 185-191. 34 Haecker FM, Mayr J. The vacuum bell for treatment of pectus excavatum: an alternative to surgical correction? Eur J Cardiothorac Surg, 2006, 29(4): 557-561.
5.
6.
7.
8.
9.
10.
11.	王炜. 整形外科学. 杭州: 浙江科学技术出版社, 1999: 844-847.
12.	Kelly R Jr. Pectus excavatum: historical background, clinical picture, preoperative evaluation and criteria for operation. Semin Pediatr Surg, 2008, 17(3): 182-193.
13.	Cartoski MJ, Nuss D, Goretsky MJ, et al. Classification of the dysmorphology of pectus excavatum. J Pediatr Surg, 2006, 41(9): 1573-1581.
14.	Kelly RE Jr, Shamberger RC, Mellins RB, et al. Prospective multicenter study of surgical correction of pectus excavatum: design, perioperative complications, pain, and baseline pulmonary function facilitated by internet-based data collection. J Am Coll Surg, 2007, 205(2): 205-216.
15.	Beier JP, Weber PG, Reingruber B, et al. Aesthetic and functional correction of female, asymmetric funnel chest—a combined approach. Breast, 2009, 18(1): 60-65.
16.	Fonkalsrud EW. Current management of pectus excavatum. World J Surg, 2003, 27(5): 502-508.
17.	Nakaoka T, Uemura S, Yano T, et al. Does overgrowth of costal cartilage cause pectus excavatum? A study on the lengths of ribs and costal cartilages in asymmetric patients. J Pediatr Surg, 2009, 44(7): 1333-1336.
18.	Fonkalsrud E. Management of pectus chest deformities in female patients. Am J Surg, 2004, 187(2): 192-197.
19.	Jaroszewski D, Notrica D, McMahon L, et al. Current management of pectus excavatum: a review and update of therapy and treatment recommendations. J Am Board Fam Med, 2010, 23(2): 230-239.
20.	Laituri CA, Garey CL, St Peter SD. Review of the technical variants in the repair of pectus excavatum. Eur J Pediatr Surg, 2010, 20(4): 217-221.
21.	胡廷泽. 漏斗胸外科治疗: 30年406例经验回顾. 中华小儿外科杂志, 2005, 26(8): 393-395.
22.	Snel BJ, Spronk CA, Werker PM, et al. Pectus excavatum reconstruction with silicone implants: long-term results and a review of the english-language literature. Ann Plast Surg, 2009, 62(2): 205-209.
23.	Nuss D, Kelly RE Jr, Croitoru DP, et al. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg, 1998, 33(4): 545-552.
24.	Sørensen J. Subcutaneous silicone implants in pectus excavatum. Scand J Plast Surg, 1988, 22(2): 173-176.
25.	Saour S, Shaaban H, McPhail J, et al. Customised silicone prostheses for the reconstruction of chest wall defects: technique of manufacture and final outcome. J Plast Reconstr Aesthet Surg, 2008, 61(10): 1205-1209.
26.	Margulis A, Sela M, Neuman R, et al. Reconstruction of pectus excavatum with silicone implants. J Plast Reconstr Aesthet Surg, 2006, 59(10): 1082-1086.
27.	Marks MW, Argenta LC, Lee DC. Silicone implant correction of pectus excavatum: indications and refinement in technique. Plast Reconstr Surg, 1984, 74(1): 52-58.
28.	Moscona RA, Fodor L. How to perform breast augmentation safely for a pectus excavatum patient. Aesthetic Plast Surg, 2011, 35(2): 198-202.
29.	Park HJ, Lee SY, Lee CS, et al. The Nuss procedure for pectus excavatum: evolution of techniques and early results on 322 patients. Ann Thorac Surg, 2004, 77(1): 289-295.
30.	曾骐, 张娜, 陈诚豪, 等. 漏斗胸的分型和微创Nuss手术. 中华外科杂志, 2008, 46(15): 1160-1162.
31.	梁海龙, 刘吉福, 赵京, 等. Nuss手术矫正成年人漏斗胸22例临床分析. 临床军医杂志, 2011, 39(1): 76-78.
32.	Hosie S, Sitkiewicz T, Petersen C, et al. Minimally invasive repair of pectus excavatum—the Nuss procedure. A European multicentre experience. Eur J Pediatr Surg, 2002, 12(4): 235-238.
33.	Fang FC, Cheng YL, Lee SC, et al. Clinical experience of Nuss procedure for pectus excavatum in adult female patients. Thorac Cardiovasc Surg, 2008, 56(5): 283-286.
34.	Rapuzzi G, Torre M, Romanini MV, et al. The nuss procedure after breast augmentation for female pectus excavatum. Aesthetic Plast Surg, 2010, 34(3): 397-400.
35.	Haecker FM. The vacuum bell for conservative treatment of pectus excavatum: the Basle experience. Pediatr Surg Int, 2011, 27(6): 623-627.

1. 19 Chang PY, Chang CH, Lai JY, et al. A method for the non-invasive assessment of chest wall growth in pectus excavatum patients. Eur J Pediatr Surg, 2010, 20(2): 82-84. 20 Haller JA Jr, Kramer SS, Lietman SA. Use of CT scans in selection of patients for pectus excavatum surgery: a prelminary report. J Pediatr Surg, 1987, 22(10): 904-906.
2. 21 Kuenzler KA, Stolar CJ. Surgical correction of pectus excavatum. Paediatr Respir Rev, 2009, 10(1): 7-11. 22 Nasr A, Fecteau A, Wales PW. Comparison of the Nuss and the Ravitch procedure for pectus excavatum repair: a meta-analysis. J Pediatr Surg, 2010, 45(5): 880-886. 23 曾骐, 张娜, 范茂槐, 等. Nuss手术与改良Ravitch手术的对比研究. 中华小儿外科杂志, 2005, 26(8): 397-399.
3. 27 Luu TD, Kogon BE, Force SD, et al. Surgery for recurrent pectus deformities. Ann Thorac Surg, 2009, 88(5): 1627-1631. 28 吉毅, 刘文英, 徐冰, 等. 非胸腔镜辅助微创Nuss手术矫治复发漏斗胸. 中国修复重建外科杂志, 2008, 22(10): 1213-1217．.
4. 32 Harrison MR, Estefan-Ventura D, Fechter R, et al. Magnetic mini-mover procedure for pectus excavatum: I. Development, design, and simulations for feasibility and safety. J Pediatr Surg, 2007, 42(1): 81-85. 33 Harrison MR, Curran PF, Jamshidi R, et al. Magnetic mini-mover procedure for pectus excavatum II: initial findings of a Food and Drug Administration-sponsored trial. J Pediatr Surg, 2010, 45(1): 185-191. 34 Haecker FM, Mayr J. The vacuum bell for treatment of pectus excavatum: an alternative to surgical correction? Eur J Cardiothorac Surg, 2006, 29(4): 557-561.
5.
6.
7.
8.
9.
10.
11. 王炜. 整形外科学. 杭州: 浙江科学技术出版社, 1999: 844-847.
12. Kelly R Jr. Pectus excavatum: historical background, clinical picture, preoperative evaluation and criteria for operation. Semin Pediatr Surg, 2008, 17(3): 182-193.
13. Cartoski MJ, Nuss D, Goretsky MJ, et al. Classification of the dysmorphology of pectus excavatum. J Pediatr Surg, 2006, 41(9): 1573-1581.
14. Kelly RE Jr, Shamberger RC, Mellins RB, et al. Prospective multicenter study of surgical correction of pectus excavatum: design, perioperative complications, pain, and baseline pulmonary function facilitated by internet-based data collection. J Am Coll Surg, 2007, 205(2): 205-216.
15. Beier JP, Weber PG, Reingruber B, et al. Aesthetic and functional correction of female, asymmetric funnel chest—a combined approach. Breast, 2009, 18(1): 60-65.
16. Fonkalsrud EW. Current management of pectus excavatum. World J Surg, 2003, 27(5): 502-508.
17. Nakaoka T, Uemura S, Yano T, et al. Does overgrowth of costal cartilage cause pectus excavatum? A study on the lengths of ribs and costal cartilages in asymmetric patients. J Pediatr Surg, 2009, 44(7): 1333-1336.
18. Fonkalsrud E. Management of pectus chest deformities in female patients. Am J Surg, 2004, 187(2): 192-197.
19. Jaroszewski D, Notrica D, McMahon L, et al. Current management of pectus excavatum: a review and update of therapy and treatment recommendations. J Am Board Fam Med, 2010, 23(2): 230-239.
20. Laituri CA, Garey CL, St Peter SD. Review of the technical variants in the repair of pectus excavatum. Eur J Pediatr Surg, 2010, 20(4): 217-221.
21. 胡廷泽. 漏斗胸外科治疗: 30年406例经验回顾. 中华小儿外科杂志, 2005, 26(8): 393-395.
22. Snel BJ, Spronk CA, Werker PM, et al. Pectus excavatum reconstruction with silicone implants: long-term results and a review of the english-language literature. Ann Plast Surg, 2009, 62(2): 205-209.
23. Nuss D, Kelly RE Jr, Croitoru DP, et al. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg, 1998, 33(4): 545-552.
24. Sørensen J. Subcutaneous silicone implants in pectus excavatum. Scand J Plast Surg, 1988, 22(2): 173-176.
25. Saour S, Shaaban H, McPhail J, et al. Customised silicone prostheses for the reconstruction of chest wall defects: technique of manufacture and final outcome. J Plast Reconstr Aesthet Surg, 2008, 61(10): 1205-1209.
26. Margulis A, Sela M, Neuman R, et al. Reconstruction of pectus excavatum with silicone implants. J Plast Reconstr Aesthet Surg, 2006, 59(10): 1082-1086.
27. Marks MW, Argenta LC, Lee DC. Silicone implant correction of pectus excavatum: indications and refinement in technique. Plast Reconstr Surg, 1984, 74(1): 52-58.
28. Moscona RA, Fodor L. How to perform breast augmentation safely for a pectus excavatum patient. Aesthetic Plast Surg, 2011, 35(2): 198-202.
29. Park HJ, Lee SY, Lee CS, et al. The Nuss procedure for pectus excavatum: evolution of techniques and early results on 322 patients. Ann Thorac Surg, 2004, 77(1): 289-295.
30. 曾骐, 张娜, 陈诚豪, 等. 漏斗胸的分型和微创Nuss手术. 中华外科杂志, 2008, 46(15): 1160-1162.
31. 梁海龙, 刘吉福, 赵京, 等. Nuss手术矫正成年人漏斗胸22例临床分析. 临床军医杂志, 2011, 39(1): 76-78.
32. Hosie S, Sitkiewicz T, Petersen C, et al. Minimally invasive repair of pectus excavatum—the Nuss procedure. A European multicentre experience. Eur J Pediatr Surg, 2002, 12(4): 235-238.
33. Fang FC, Cheng YL, Lee SC, et al. Clinical experience of Nuss procedure for pectus excavatum in adult female patients. Thorac Cardiovasc Surg, 2008, 56(5): 283-286.
34. Rapuzzi G, Torre M, Romanini MV, et al. The nuss procedure after breast augmentation for female pectus excavatum. Aesthetic Plast Surg, 2010, 34(3): 397-400.
35. Haecker FM. The vacuum bell for conservative treatment of pectus excavatum: the Basle experience. Pediatr Surg Int, 2011, 27(6): 623-627.

Chinese Journal of Reparative and Reconstructive Surgery

CURRENT DEVELOPMENT IN THERAPY OF CONGENITAL FUNNEL CHEST

Abstract Full text Figures/Tables Video References Cited by

Format

Content