초록접수 현황
| 16F-156 | 구연 발표 |
Surgical Repair of Pectus Carinatum and Mixed Deformities: The Sandwich Technique
Hyung Joo Park, Kyung Soo Kim, Young Kyu Moon, Mi Hyoung Moon, Min Namkoong, Jiyun Lee, Hyo Chan Ahn
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University College of Medicine, Seoul, Korea
Background : We introduce our new technique to repair asymmetric pectus carinatum or excavatum-carinatum complex (mixed deformity) using the sandwich technique (press-molding). The purpose of this study is to elaborate the details of the sandwich technique and appraise the early results.
Methods : Between January 2007 and May 2016, 554 consecutive patients of pectus carinatum and pectus excavatum/carinatum complex were analyzed retrospectively. There was no patient excluded during the study period. The sandwich 1 and 2 techniques using the internal and external pectus bars were for pectus carinatum repair. Modified techniques using the external string and the internal bar were the solutions for the lower costal flare (the flare-buster) and focal protuberances (the magic string), which were aesthetic problems emerging after pectus excavatum repair.
Results : The sandwich repair with the external and internal bars was applied to 59 pectus carinatum patients: 5 symmetric (8.5%), 12 asymmetric (20.3%), and 42 carinatum-excavatum complex (71.2%). After pectus excavatum repair, 446 patients had the flare-buster and 49 patients received the magic string. The sandwich 1 technique achieved near complete resolution of carinatum in 52 patients (88.1%). The sandwich 2 technique accomplished almost symmetric configuration with no residual carinatum in all 7 cases.
Conclusion : The sandwich technique using the external and internal bars seems effective in treating asymmetric pectus carinatum and complex excavatum/carinatum deformities. The flare-buster and the magic string were effective in relieving the costal flare and focal protuberances emerged after pectus excavatum repair.
Methods : Between January 2007 and May 2016, 554 consecutive patients of pectus carinatum and pectus excavatum/carinatum complex were analyzed retrospectively. There was no patient excluded during the study period. The sandwich 1 and 2 techniques using the internal and external pectus bars were for pectus carinatum repair. Modified techniques using the external string and the internal bar were the solutions for the lower costal flare (the flare-buster) and focal protuberances (the magic string), which were aesthetic problems emerging after pectus excavatum repair.
Results : The sandwich repair with the external and internal bars was applied to 59 pectus carinatum patients: 5 symmetric (8.5%), 12 asymmetric (20.3%), and 42 carinatum-excavatum complex (71.2%). After pectus excavatum repair, 446 patients had the flare-buster and 49 patients received the magic string. The sandwich 1 technique achieved near complete resolution of carinatum in 52 patients (88.1%). The sandwich 2 technique accomplished almost symmetric configuration with no residual carinatum in all 7 cases.
Conclusion : The sandwich technique using the external and internal bars seems effective in treating asymmetric pectus carinatum and complex excavatum/carinatum deformities. The flare-buster and the magic string were effective in relieving the costal flare and focal protuberances emerged after pectus excavatum repair.
책임저자: Hyung Joo Park
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University College of Medicine, Seoul, Korea
발표자: Hyung Joo Park, E-mail : hyjpark@catholic.ac.kr