[The modified sternal elevation for pectus excavatum].
OBJECTIVE
To improve sternal elevation for pectus excavatum to be more simple, less injured and less recurrent.


METHODS
We modified procedures for the sternal elevation for pectus excavatum by dispersal of the shortened fibrous bundle connection with central tendon of the diaphragm, correction of the reverse angle of sternocostales joins, transverse cuneiform anterior osteotomy of sternum and reconnection of oblique resected costal cartilage.


RESULTS
Since March 1997, 8 children (4 - 10-year-old) with the pectus excavatum have been treated by this modified sternal elevation, 4 of them who suffer from quick heart pulse improved their heart rate immediately during the operation, all patients have less bleeding and good cosmetic appearance without any complications. There were satisfactory results without recurrence after 6 months to 1 year follow-up.


CONCLUSIONS
The modified sternal elevation for pectus excavatum is safe, effective and reliable method.
Ouyang
Tian-xiang
TX
Department of Plastic Surgery, Xinhua Hospital, Medical College, Shanghai Jiao Tong University, Shanghai 200092, China. txouyang63@sina.com
Xing
Xin
X
Guo
Entan
E
D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005660:Funnel Chest / Q000601:surgery*; D006801:Humans; D008297:Male; D013249:Sternum / Q000601:surgery*