Two-staged Correction for Pouter Pigeon Chest: A Less Invasive Procedure
Surgical correction of pouter pigeon chest deformity traditionally requires invasive procedures including total removal of the affected costal cartilages and major dissection of the sternum. We present a novel minimally invasive two-stage technique that was applied to an 8-year-old girl. First, the...
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| Format: | Article |
| Language: | English |
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Japan Society of Plastic and Reconstructive Surgery
2023-01-01
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| Series: | Journal of Plastic and Reconstructive Surgery |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/jprs/2/1/2_2021-0030/_pdf/-char/en |
| _version_ | 1797776676476682240 |
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| author | Yasushi Mochizuki Akihiko Oyama Akiyoshi Kajikawa |
| author_facet | Yasushi Mochizuki Akihiko Oyama Akiyoshi Kajikawa |
| author_sort | Yasushi Mochizuki |
| collection | DOAJ |
| description | Surgical correction of pouter pigeon chest deformity traditionally requires invasive procedures including total removal of the affected costal cartilages and major dissection of the sternum. We present a novel minimally invasive two-stage technique that was applied to an 8-year-old girl. First, the depressed lower chest was elevated using a plate with the Nuss procedure. Then, after 30 months, simultaneously with plate removal, correction of the remaining projection of the upper chest was also performed. This involved excision of only two pairs of deformed costal cartilage and a local osteotomy at the manubriosternal joint. Intraoperative blood loss was 20 mL, and the patient was discharged 7 days postoperatively. Because both the primary and secondary stages involve manual bending of the costal cartilages, our procedure may be suitably indicated only for patients in their early teenage years. |
| first_indexed | 2024-03-12T22:53:19Z |
| format | Article |
| id | doaj.art-b4bcb0b13a5c478eb4e500775d671e93 |
| institution | Directory Open Access Journal |
| issn | 2436-259X |
| language | English |
| last_indexed | 2024-03-12T22:53:19Z |
| publishDate | 2023-01-01 |
| publisher | Japan Society of Plastic and Reconstructive Surgery |
| record_format | Article |
| series | Journal of Plastic and Reconstructive Surgery |
| spelling | doaj.art-b4bcb0b13a5c478eb4e500775d671e932023-07-20T06:21:48ZengJapan Society of Plastic and Reconstructive SurgeryJournal of Plastic and Reconstructive Surgery2436-259X2023-01-012117192021-0030Two-staged Correction for Pouter Pigeon Chest: A Less Invasive ProcedureYasushi Mochizuki0Akihiko Oyama1Akiyoshi Kajikawa2Department of Plastic and Reconstructive Surgery, St. Marianna University School of MedicineDepartment of Plastic and Reconstructive Surgery, Fukushima Medical UniversityDepartment of Plastic and Reconstructive Surgery, St. Marianna University School of MedicineSurgical correction of pouter pigeon chest deformity traditionally requires invasive procedures including total removal of the affected costal cartilages and major dissection of the sternum. We present a novel minimally invasive two-stage technique that was applied to an 8-year-old girl. First, the depressed lower chest was elevated using a plate with the Nuss procedure. Then, after 30 months, simultaneously with plate removal, correction of the remaining projection of the upper chest was also performed. This involved excision of only two pairs of deformed costal cartilage and a local osteotomy at the manubriosternal joint. Intraoperative blood loss was 20 mL, and the patient was discharged 7 days postoperatively. Because both the primary and secondary stages involve manual bending of the costal cartilages, our procedure may be suitably indicated only for patients in their early teenage years.https://www.jstage.jst.go.jp/article/jprs/2/1/2_2021-0030/_pdf/-char/enpouter pigeon chestnuss procedureravitch procedureturner's syndrome |
| spellingShingle | Yasushi Mochizuki Akihiko Oyama Akiyoshi Kajikawa Two-staged Correction for Pouter Pigeon Chest: A Less Invasive Procedure Journal of Plastic and Reconstructive Surgery pouter pigeon chest nuss procedure ravitch procedure turner's syndrome |
| title | Two-staged Correction for Pouter Pigeon Chest: A Less Invasive Procedure |
| title_full | Two-staged Correction for Pouter Pigeon Chest: A Less Invasive Procedure |
| title_fullStr | Two-staged Correction for Pouter Pigeon Chest: A Less Invasive Procedure |
| title_full_unstemmed | Two-staged Correction for Pouter Pigeon Chest: A Less Invasive Procedure |
| title_short | Two-staged Correction for Pouter Pigeon Chest: A Less Invasive Procedure |
| title_sort | two staged correction for pouter pigeon chest a less invasive procedure |
| topic | pouter pigeon chest nuss procedure ravitch procedure turner's syndrome |
| url | https://www.jstage.jst.go.jp/article/jprs/2/1/2_2021-0030/_pdf/-char/en |
| work_keys_str_mv | AT yasushimochizuki twostagedcorrectionforpouterpigeonchestalessinvasiveprocedure AT akihikooyama twostagedcorrectionforpouterpigeonchestalessinvasiveprocedure AT akiyoshikajikawa twostagedcorrectionforpouterpigeonchestalessinvasiveprocedure |