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KMID : 0364019920250060621
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Korean Journal of Thoracic and Cardiovascular Surgery
1992 Volume.25 No. 6 p.621 ~ p.629
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Early Results of the Sternocostal Elevation for Pectus Excavatum
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Abstract
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Thirteen sternocosal elevations for pectus excavatum were performed on twelve patients between Jan. 1989 and Sep. 1991. Eleven among the twleve patients were male. The subjects ranged in age from 2 years to 20 years, with a mean age of 8.33
years(SD=4.80 years). Eleven patients were below 15 years. The early postoperative evaluation by Humphreys' criteria except keloid formation was excellent in all the patients. The LVI and CI improved significantly from 0.31±0.06 and 1.14±0.06
preoperatively to 0.25±0.03 and 0.78±1.10 postoperatively. The degrees of depression, flatness, and asymmetry and funnel index were measured at the most deformed portion on the computed performed pre-and postoperatively. The degrees of
depression
and
funnel index improved significantly from 3.32±0.73 and 5.77±1.54 preoperatively to 1.85±0.14 and 2.96±0.43 postoperatively. There was no significant change in the degree of flatness however. Six postoperatively. There was no significant
change
in
the degree of flatness however. Six postoperative morbidities occurred in five patients. Three were superficial wound infection, two hemopneumothorax, and one reoperation. Reoperation was performed due to forward displacement of the distal
sternum
below
the posterior sternotomy. The findings of this study suggest that the sternocostal elevation is an excellent primary method for the pectus excavatum of children and young adolescents.
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