title: Evaluation of sternochondroplasty efficacy in treatment of pectus deformities.
abstract: OBJECTIVE
  This study aimed to evaluate the efficacy of sternochondroplasty for repair of pectus deformities.
  
  
  METHODS
  Thirty-three patients underwent repair of pectus deformity with a sternochondroplasty technique between 1989 and 2009. Studied variables were age, sex, symptoms, pulmonary function tests before and after surgery, Haller index, complications, recurrence, and cosmetic results.
  
  
  RESULTS
  The median age at operation was 13.27 years. Twenty patients (13 male and 7 female) had pectus excavatum, and 13 (11 male and 2 female) had pectus carinatum. Congenital anomalies associated with pectus excavatum included a skeletal anomaly in 6 (30%) patients and a cardiac anomaly in 4 (20%); only 1 patient with pectus carinatum had cardiac anomaly. Inspiratory vital capacity and forced expiratory volume in 1 s were significantly different before and after surgery in patients with pectus excavatum, but there was no significant difference in functional residual capacity. Pulmonary function tests showed no significant differences before and after surgery in patients with pectus carinatum. Complications after surgery were seroma in 2 cases and 1 case each of pneumothorax and atelectasis. Recurrence was observed in 2 cases of pectus excavatum. The cosmetic result was excellent in 93.9% of cases. Hospital mortality was zero.
  
  
  CONCLUSIONS
  Sternochondroplasty is a desirable procedure for repairing pectus deformities. This procedure has minimal complications and the cosmetic and physiologic results are excellent.
authors.affiliation: Cardiothoracic Surgery & Transplant Research Center, Emam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Bagherir@mums.ac.ir.
authors.forename: Reza
authors.initials: R
authors.lastname: Bagheri
authors.affiliation: Cardiothoracic Surgery & Transplant Research Center, Emam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Seyed Ziaollah
authors.initials: SZ
authors.lastname: Haghi
authors.affiliation: Cardiothoracic Surgery & Transplant Research Center, Emam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Marzie
authors.initials: M
authors.lastname: Nouri Dalouee
authors.affiliation: Endoscopic & Minimally Invasive Surgery Research Center, Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Kolsoumeh
authors.initials: K
authors.lastname: Ebrahimi
authors.affiliation: Cardiothoracic Surgery & Transplant Research Center, Emam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Ata'ollah
authors.initials: A
authors.lastname: Rajabnejad
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005541:Forced Expiratory Volume; D005660:Funnel Chest / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007223:Infant; D007320:Inspiratory Capacity; D007492:Iran; D008168:Lung / Q000503:physiopathology; D008297:Male; D019637:Orthopedic Procedures / Q000009:adverse effects / Q000379:methods*; D066166:Pectus Carinatum / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D020127:Recovery of Function; D012008:Recurrence; D019616:Thoracic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
keywords: Funnel chest; patient satisfaction; reconstructive surgical procedures; treatment outcome