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A simple sternal turnover procedure using a vascular pedicle for a funnel chest
S Ishikawa1, E Uchinuma, M Itoh
1Department of Plastic and Reconstructive Surgery, Kitasato University School of Medicine, Kanagawa, Japan.
Annals of Plastic Surgery
|May 1, 1988
Summary
This study introduces an improved sternal turnover technique for funnel chest repair, utilizing a vascular pedicle. This method enhances surgical outcomes and reduces complications by preserving vital thoracic vessels.
Area of Science:
- Thoracic surgery
- Pediatric surgery
- Cardiothoracic surgery
Background:
- Funnel chest (pectus excavatum) is a congenital chest wall deformity.
- Sternal turnover is a surgical approach for correcting severe pectus excavatum.
- Traditional sternal turnover may carry risks of vascular compromise.
Observation:
- A modified sternal turnover procedure was developed for funnel chest correction.
- The technique involves preserving and repositioning the vascular pedicle with the sternum.
- Specific steps include sternal and costal cartilage incisions, pedicle repositioning, sternal fixation, and groove creation.
Findings:
- The improved technique successfully maintained the integrity of bilateral internal thoracic vessels.
- A 17-year-old patient demonstrated highly favorable postoperative results.
- This method aims to minimize postoperative complications associated with sternal turnover.
Implications:
- This vascular pedicle-based sternal turnover offers a potentially safer and more effective surgical option for funnel chest.
- Preservation of the vascular pedicle may lead to improved healing and aesthetic outcomes.
- Further studies could explore long-term efficacy and broader patient applicability.