title: Reconstruction of pectus excavatum with silicone implants.
abstract: The pectus excavatum deformity is characterised by a deep depression usually involving the lower one-half to two-thirds of the sternum. The indications for surgery are often aesthetic. Extensive procedures, requiring fracturing and remodelling of the chest wall skeleton are associated with high morbidity and high rate of complications. In this article we describe our renewed experience with reconstruction of mild and moderate pectus excavatum deformities with custom made prefabricated silicone implants. The fabrication of the implant and the surgical technique are described in detail. An excellent aesthetic correction of the deformity was achieved in all of the patients in our series, with high patient satisfaction rate. We conclude that with careful patient selection, artistic implant fabrication and meticulous surgical technique, this approach achieves excellent aesthetic correction with minimal morbidity and a low complication rate and therefore should maintain its place in the armamentarium of surgical techniques for reconstruction of pectus deformities.
authors.affiliation: Department of Plastic Surgery, Hadassah Medical Center of Hebrew University, P.O. Box 12000, Jerusalem IL-91120, Israel. margul13@yahoo.com
authors.forename: Alexander
authors.initials: A
authors.lastname: Margulis
authors.forename: Mordechai
authors.initials: M
authors.lastname: Sela
authors.forename: Rami
authors.initials: R
authors.lastname: Neuman
authors.forename: Anat
authors.initials: A
authors.lastname: Buller-Sharon
mesh_terms: D000328:Adult; D005260:Female; D005660:Funnel Chest / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D019736:Prostheses and Implants; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000379:methods*; D012826:Silicone Elastomers
chemical_list: D012826:Silicone Elastomers