REPAIR OF FUNNEL CHEST USING SUBSTERNAL OSTEOPERIOSTEAL RIB GRAFT STRUT

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Abstract
An excellent and thorough review of the literature dealing with funnel chest deformity was made in 1938 by Alton Ochsner and Michael DeBakey.1They described 32 operative techniques used since 1911 to correct this deformity, commonly known as pectus excavatum. These operations were divided into three types. The first type consisted of procedures involving varying degrees of chondrosternal resection, by which the structural defect was removed but the physiology of respiration was also disturbed. In the second type T-sternotomy procedures were explored, with or without costal cartilage division plus external traction. This method was extensive and complicated, and the condition was likely to recur. The third type involved sternal mobilization and costochondral division or resection, also with external sternal traction. This method was mentioned as the best. The only other treatment used in the past was conservative or nonsurgical, and consisted of breathing and postural exercises, application of various

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