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Related Experiment Videos

Subcutaneous silicone implants in pectus excavatum.

J L Sørensen1

  • 1Department of Plastic Surgery, Rigshospitalet, Copenhagen, Denmark.

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
|January 1, 1988
PubMed
Summary

Subcutaneous silicone prostheses effectively treated funnel chest in seventeen patients. Most patients reported high satisfaction, with only minor complications and reoperations needed.

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Area of Science:

  • Thoracic Surgery
  • Plastic Surgery
  • Biomaterials Science

Background:

  • Funnel chest (pectus excavatum) is a congenital chest wall deformity.
  • Surgical correction aims to improve aesthetics and respiratory function.
  • Silicone prostheses offer a minimally invasive approach for correction.

Purpose of the Study:

  • To evaluate the efficacy and patient satisfaction of subcutaneous silicone prostheses for funnel chest correction.
  • To assess the complication rates and need for reoperation associated with this procedure.

Main Methods:

  • Seventeen patients with funnel chest underwent subcutaneous implantation of custom silicone prostheses.
  • Postoperative monitoring included aspiration of seromas and evaluation for complications.
  • Follow-up assessments included clinical examination and patient-reported satisfaction.

Main Results:

  • Sixteen out of seventeen patients (94%) reported satisfaction with the cosmetic outcome.
  • Nine patients required postoperative aspiration of seromas.
  • Five patients underwent reoperation for prosthesis displacement, size adjustment, or removal due to unrelated complaints.

Conclusions:

  • Subcutaneous silicone prostheses provide a safe and effective treatment option for funnel chest.
  • High patient satisfaction rates suggest good aesthetic and functional outcomes.
  • While minor complications like seromas can occur, major adverse events are infrequent.

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