A Case of Funnel Chest Performed Sternal Turnover with Rectus Abdominis Muscle Pedicle

概要

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There are two types of surgical procedures for funnel chest: sternal turnover and sternocostal elevation. Both procedures have some merits and some demerits respectively,so the uniformed operative techniques for funnel chest are not concluded. However, it is most important that correction of excavation and prevention of postoperative repiratory dysfunction have completely performed. A 12- year-old boy with severe excavation in the anterior thorax admitted to our hospital was diagnosed as funnel chest.We underwent sternal turnover with rectus abdominis muscle pedicle.Some of reports ordinarily recommended overlap of only sternum to firm plastron and prevent postoperative flail chest. However, we respectively performed conjugation and overlap of both sternum and costal cartilages for more firm fixation of plastron (so-called Ravitch's method),because the overlap of only sternum is not enough to fix plastron firmly.The patient was successfully treated without flail chest postoperative course.The postoperative appearance was satisfactory and respiratory symptom has improved.
長崎大学の論文