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Pectus Carinatum

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Pediatric Thoracic Surgery
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Abstract

Pectus carinatum is the second most frequent chest wall anomaly with a prevalence in males. Usually, it worsens during adolescence and is only seldom caused by respiratory or other functional problems. Treatment is conservative with corsets or FMF, and in severe cases, surgery can be proposed. A minimally invasive approach (Abramson procedure) or open (Sterno-chondroplasty) approach can be necessary in severe cases.

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References

  1. Park CH, Kim TH, Haam SJ, Lee S. Does overgrowth of costal cartilage cause pectus carinatum? A three-dimensional computed tomography evaluation of rib length and costal cartilage length in patients with asymmetric pectus carinatum. Interact Cardiovasc Thorac Surg. 2013;17(5):757–63.

    Article  Google Scholar 

  2. Robiscek F, Watts LT. Pectus carinatum. Thorac Surg Clin. 2010;20:563–74.

    Article  Google Scholar 

  3. Fokin AA, Robicsek F. Management of chest wall deformities. In: Franco KL, Putnam JB, editors. Advanced therapy in thoracic surgery. 2nd ed. Ontario: BC DeckerInc; 2005. p. 145–62.

    Google Scholar 

  4. Brodkin HA. Congenitalchondrosternalprominence (pigeonchest): a new interpretation. Pediatrics. 1949;3:286–95.

    CAS  PubMed  Google Scholar 

  5. Yuksel M, Lacin T, Ermerak NO, Sirzai EY, Sayan B. Minimally Invasive Repair of Pectus Carinatum. Ann Thorac Surg. 2018;105(3):915–23. https://doi.org/10.1016/j.athoracsur.2017.10.003.

    Article  PubMed  Google Scholar 

  6. Fokin AA, Steuerwald NM, Ahrens WA, Allen KE. Anatomical, histologic, and genetic characteristics of congenital chest wall deformities. Semin Thorac Cardiovasc Surg. 2009;21:44–57.

    Article  Google Scholar 

  7. Shamberger RC. Congenital chest wall deformities. In: Grosfeld JL, O’Neill Jr JA, Coran AG, et al., editors. Pediatric surgery. 6th ed. Philadelphia, PA: MosbyInc; 2006. p. 904.

    Google Scholar 

  8. Fonkalsrud EW. Surgical correction of pectus carinatum: lessons learned from 260 patients. J Pediatr Surg. 2008;43:1235–43.

    Article  Google Scholar 

  9. Haller JA, Kramer SS, Lietman SA. Use of CT scans in selection of patients for pectus excavatum surgery: a preliminary report. J Pediatr Surg. 1987;22:904–6.

    Article  Google Scholar 

  10. Robicsek F, Watts LT. Pectus carinatum. Thorac Surg Clin. 2010;20(4):563–74.

    Article  Google Scholar 

  11. Currarino G, Silverman FN. Premature obliteration of the sternal sutures and pigeon-breast deformity. Radiology. 1958;70:532–40.

    Article  CAS  Google Scholar 

  12. Torre M, Rapuzzi G, Varela P, Jasonni V. Chest wall deformities: an overview on classification and surgical options. In: Prof. Cardoso P, (Ed). Topics in thoracic surgery. 2012;293–307. Available from: http://www.intechopen.com/books/topics-in-thoracicsurgery/chest-wall-deformities-anoverview-on-classification-and-surgical-options.

  13. Swanson JW, Colombani PM. Reactive pectus carinatum in patients treated for pectus excavatum. J Pediatr Surg. 2008;43:1468–73.

    Article  Google Scholar 

  14. Coelho Mde S, Guimarães Pde S. Pectus carinatum. J Bras Pneumol. 2007;33(4):463–74.

    Article  Google Scholar 

  15. Del Frari B, Schwabegger AH. Ten-year experience with the muscle split technique, bioabsorbable plates, and postoperative bracing for correction of pectus carinatum: The Innsbruck protocol. J Thorac Cardiovasc Surg. 2011;141:1403–9.

    Article  Google Scholar 

  16. Fonkalsrud EW, Anselmo DM. Less extensive techniques for repair of pectus carinatum: the undertreated chest deformity. J Am Coll Surg. 2004;198:898–905.

    Article  Google Scholar 

  17. Kravarusic D, Dicken BJ, Dewar R, et al. The Calgary protocol for bracing of pectus carinatum: a preliminary report. J Pediatr Surg. 2006;41:923–6.

    Article  Google Scholar 

  18. Martinez-Ferro M, Fraire C, Bernard S. Dynamic compression system for the correction of pectus carinatum. Semin Pediatr Surg 2008;17:194–200. This is one of the largest series reporting orthotic bracing as treatment for pectus carinatum and demonstrates a unique bracing system that allows real-time pressure measurement.

    Google Scholar 

  19. Abramson H. A minimally invasive technique to repair pectus carinatum. Preliminary report. Arch Bronco Pneumol. 2005;41:349–51.

    Article  CAS  Google Scholar 

  20. Abramson H, D’Agostino J, Wuscovi S. A 5year experience with a minimally invasive technique for pectus carinatum repair. J Pediatr Surg. 2009;44:118–24.

    Article  Google Scholar 

  21. Kim S, Idowu O. Minimally invasive thoracoscopic repair of unilateral pectus carinatum. J Pediatr Surg. 2009;44:471–4.

    Article  Google Scholar 

  22. Varela P, Torre M. Thoracoscopic cartilage resection with partial perichondrium preservation in unilateral pectus carinatum: preliminary results. J Pediatr Surg. 2011;46:263–6.

    Article  Google Scholar 

  23. Schaarschmidt K, Lempe-Sellin M, Schlesinger F. New Berlin-Buch “reversed Nuss”, endoscopic pectus carinatum repair using eight-hole stabilizers, submuscular CO2, and presternal Nuss bar compression: first results in 35 patients. J Laparoendosc Adv Surg Tech A. 2011;21:283–6.

    Article  Google Scholar 

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Correspondence to Michele Torre .

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Torre, M., Palo, F. (2021). Pectus Carinatum. In: Mattioli, G., Petralia, P., Torre, M. (eds) Pediatric Thoracic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-74668-1_9

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  • DOI: https://doi.org/10.1007/978-3-030-74668-1_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-74667-4

  • Online ISBN: 978-3-030-74668-1

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