title: Correction of pectus excavatum with breast hypoplasia using simultaneous pectus bar procedure and augmentation mammoplasty.
abstract: Most women with asymmetric pectus excavatum suffer from hypoplastic breasts. Hence, aesthetic correction of pectus excavatum has to address thoracic wall deformity, breast hypoplasia, and asymmetry.In retrospective series, 21 patients with a diagnosis of pectus excavatum with hypoplastic breasts were corrected using the pectus bar procedure and subpectoral augmentation mammoplasty. Results were assessed by analyzing prospectively collected data and calculating pectus indices from computed tomographic scans. At 12 months postoperatively, cosmetic evaluations were performed by the patients and by an independent, board-certified plastic surgeon using score from 0 (very poor) to 4 (very good).Cosmetic results evaluated by plastic surgeon were good (3.33 ± 0.03) and patient satisfaction was high (3.52 ± 0.03). Furthermore, indices of pectus excavatum were corrected to near normal.The authors consider that the pectus bar procedure with subpectoral augmentation mammoplasty is useful for the aesthetic correction of pectus excavatum with hypoplastic breasts.
authors.affiliation: From the *Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital; †Department of Plastic and Reconstructive Surgery, Dankook University Hospital; ‡Department of Plastic and Reconstructive Surgery, Korea University Ansan Hospital, Ansan; and §Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Seoul, Republic of Korea.
authors.forename: Hyung Joo
authors.initials: HJ
authors.lastname: Park
authors.forename: Ja Hea
authors.initials: JH
authors.lastname: Gu
authors.forename: Joon Chul
authors.initials: JC
authors.lastname: Jang
authors.forename: Eun-Sang
authors.initials: ES
authors.lastname: Dhong
authors.forename: Eul-Sik
authors.initials: ES
authors.lastname: Yoon
mesh_terms: D000293:Adolescent; D000328:Adult; D001940:Breast / Q000002:abnormalities* / Q000601:surgery; D019928:Breast Implantation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005660:Funnel Chest / Q000150:complications / Q000601:surgery*; D006801:Humans; D019637:Orthopedic Procedures / Q000295:instrumentation / Q000379:methods*; D017060:Patient Satisfaction; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult