AI Article Synopsis
- The modified Ravitch procedure is commonly used to correct pectus deformities, focusing on cosmetic outcomes, particularly for female patients.
- Two types of skin incisions, midsternal and transversal, often leave visible scars that are undesirable, prompting the exploration of bilateral inframammarian incisions as a more aesthetically pleasing alternative.
- In a study involving 12 female patients, this new method demonstrated effective deformity correction with minimal complications and positive long-term cosmetic results.
Article Abstract
One of the most preferred procedures for correction of pectus deformities is the modified Ravitch procedure. The main aim is cosmetic for many patients, especially in females. Two types of skin incisions have been described for this operation in the literature: midsternal and transversal. Both incisions leave a skin scar on the sternum and result in unacceptable cosmetic results. As a way of concealing the ugly skin incision scar under the breasts after puberty, we describe and discuss the use of bilateral inframammarian separated skin incisions. We have used our method for correction of pectus deformity in 12 female cases in our clinic since 1991. Two 4-5 cm incisions were localized as 1/3 medially and 2/3 laterally below both breasts. With this incision we performed the modified Ravitch technique. In spite of technical difficulties of exposure, correction of the deformity was satisfactory in all patients. Only one patient had seroma and one had perioperative pneumothorax. The patients were followed up for from 3 months to 9 years. No recurrence was observed. Breast development and sensitivity was found to benormal at follow-up. The new approach was found to be effective and more cosmetically acceptable than the other approaches for correction of pectus excavatum in female patients.
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| http://dx.doi.org/10.1016/S1569-9293(03)00211-1 | DOI Listing |
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