• Journal of Chest Surgery
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• v.23 no.5
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• pp.1027-1034
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• 1990

Pectus excavatum, commonest developmental anomaly of chest wall, is manifested by depression of the sternum and lower costal cartilages that is of surgical interest. From 1982 through 1990, fifteen patients have undergone surgery for treatment of pectus excavatum and treated by Ravitch operation: 5, Modified Ravitch operation; 4, Wada operation, 1 and Modified Wada operation, 5. There was familial history of pectus excavatum in 3 patients. Associated congenital anomaly were seen in 6 patients; scoliosis in 3 patients, right inguinal hernia in 1, polydactyly in 1 and patent ductus arteriosus in 1 patent. Postoperative minor complications were developed in 3 cases; pneumothorax, 2 cases; pleural effusion, 2 cases; wound infection and dehiscence, 1 cases; pressure sore due to strut malposition, 2 cases; flail chest and 2 cases; seroma. The incidence of the postoperative complications were more common in cases who were treated by metal strut, pin or other prosthetic materials for supporting the chest wall integrity than the standard corrective procedure. All cases have no recurrence of chest wall depression and operative death.

• Journal of Chest Surgery
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• v.23 no.3
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• pp.609-615
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• 1990

Pectus excavatum is a congenital anomaly of the anterior chest wall with a sharp concave curvature of the body of the sternum, from above downward and from side to side, especially just before the junction of the glandioloxiphoid. There are two major operative procedures -"Ravitch" or "Wada" operation- for the correction of pectus excavatum. We used the modified Ravitch operation which consists of mobilization of the sternum, transverse osteotomy, and parasternal resection of the costal cartilages followed by placement of Marlex mesh using methyl methacrylate behind the sternum and suturing the edge of the Marlex mesh to the peripheral stump of the resected ribs. This was performed in a patient with severe pectus excavatum with good results at the Department of Thoracic and Cardiovascular Surgery Yonsei University College of Medicine in Seoul, Korea on January 12, 1989.anuary 12, 1989.

• Journal of Chest Surgery
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• v.55 no.3
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• pp.252-254
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• 2022

• Journal of Chest Surgery
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• v.32 no.5
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• pp.489-493
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• 1999

The pectus carinatum or anterior protrusion of the sternum is a less common than pectus excavatum. It occurs more frequently in boys than girls and associated musculoskeletal abnormalities, spinal scoliosis is most common. Ravitch first reported correction of chondromanubrial prominence in 1952, resecting the multiple deformed costal cartilages and performing a double osteotomy on sternum. We have experienced one case of pectus carinatum and obtained satisfactory postoperative results. The deformity was corrected by the subchondral resection of multiple deformed costal cartilage, bilaterally, with single osteotomy on sternum and fracture of the posterior cortex to correct anterior angulation. Postoperative course was uneventful. We report this case with brief review of the literature.

• Journal of Chest Surgery
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• v.25 no.3
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• pp.276-282
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• 1992

From Jan. 1981 to Dec. 1989 eleven cases of Funnel Chest, ten were males and one was female, were underwent an operation at the Department of Thoracic and Cardiovascular Surgery. Cheonbuk National University Hospital. The age of patients ranged from 3 to 29 years old. They all had symptoms of feeling inferiority about chest deformity. The degree of concavity on the funnel chest varied in extent, and the severity which was measured by water volume filled into it varied from 20 ml to 140 ml. Nine patients were corrected by Ravitch method and two patients were corrected by the Modified sternal turnover method. The Ravitch method was more effective in asymmetrical, severe depression deformity and in children. On the other hand the Modified sternal turnover method with preservation of vascular supply of repair was more simple and more effective in case of relatively less severe, wide symmetrical depression deformity of the chest and in case of associated with congenital or acquired heart disease and disease of the ascending aorta. This method has the advantage of maintaining chest wall stability in postoperative period.

• Journal of Chest Surgery
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• v.25 no.8
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• pp.837-843
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• 1992

The most common deformity of the sternum is the depression deformity, variously calid pectus Excavatum, funnel chest, schwusterbrust, trichterburst, thorax en entonnoir. During the period 1983 to 1991 a total of 15 cases of funnel chest were treated surgically at Department of Thoracic Surgery, Hanyang University Hospital. The age at the time of operation ranged from 4 to 26 years 73.3 percent of the patients were under 12 years of age They all had symptoms of feeling Inferiority about chest deformity. The concavity on the funnel chest varied in its Extent, and the severity, which was measured by water volume filled into it, varied from 45ml to 100ml. We have Experienced 15 cases of pectus Exc-avatum with several operative method, i.e., Ravitch operation in 2 cases, Taguchi operation in 3 cases[using by Both IMA], Adkins operation in 5 cases, Modified wada operation [sternal costal cartilage Elevation Technique] in 5 cases. After surgery, follow up vertebral Index showed 44%, preoperatively and 29% postoperatively, average decrement of 15%. We Reported 15 cases of funnel chest and the surgical results of thease cases were satisfactory Except one case of Ravitch operation.

• Journal of Chest Surgery
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• v.19 no.4
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• pp.707-714
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• 1986

Funnel chest is the most common deformity of the sternum. It is characterized by a funnel shaped depression of the sternum with sharp angulation and lengthening of the costal cartilages, with the result that the cartilages point posteriorly. We have experienced with eight cases of funnel chest for 2 years recently, and they were corrected by the method of Ravitch operation with or without Kirschner`s wire. The postoperative course was uneventful. And now we report these with literature review.

• Journal of Chest Surgery
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• v.16 no.2
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• pp.226-230
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• 1983

Two patients with funnel chest deformity were corrected at the Department of Thoracic Surgery of Chungnam National University Hospital . The first case was 11 year old boy, suffering from exertional dyspnea with asymmetrical funnel chest deformity, of which hollow cavity was measured 80 ml of water. The second case was 6 year old boy, suffering from frequent upper respiratory tract infection with symmetrical funnel chest deformity, of which hollow cavity was measured 50 ml of water. These two cases were corrected by Ravitch method, left lower lobectomy was performed concurrently on the first case. The result was satisfactory.

• Journal of Chest Surgery
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• v.19 no.3
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• pp.479-483
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• 1986

Two patients with funnel chest deformity were corrected at the Department of Thoracic Surgery of Chosun University Hospital. The first case was 5 year old boy, suffering cosmetic deformity, of which hollow cavity was measured 25ml of water. He was corrected by modified Ravitch method. The second case was 12 year old boy, suffering from exertional dyspnea with symmetrical funnel chest deformity, of which hollow cavity was measured 55ml of water. He was corrected by method of sternal turnover. The surgical results of these cases were satisfactory.

• Journal of Chest Surgery
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• v.30 no.12
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• pp.1247-1250
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• 1997

A 13-year-old boy presented with anterior chest wall depression and dyspnea on exertion(NYHA II). He underwent Ravitch operation for pectus excavatum 7 years ago. A preoperative echocardiographic study revealed secundum atrial septal defect. He had no other abnormality of laboratory test, except FVC and FEVI were decreased into 2.03 L(7 %) and 1.82 L(71 %). He underwent repair of secondary anterior chest wall deformity and secundum atrial septal defect. We used unique method, raising sternum at right angle to secure good operative field for open heart surgery. Acute respiratory insufficiency was developed on postoperative day 1. Mechanical ventilation was applied which could be weaned on postoperative day 6 and thereafter hospital course was uneventful without any other sequale. He was discharged on postoperative day 19.