Ravich 술식을 이용한 누두흉의 교정

Abstract

Pectus excavatum is a disturbing chest deformity for many children and their parents. There is little objective evidence that a patient with pectus excavatum suffers any physiologic embarrassment to his cardiopulmonary function. However, the cosmetic impact of this deformity on a patient's developing personality may be of lasting importance. Although several principles of surgical treatment of pectus excavatum have evolved over the past years, the stabilization of the sternum in its normal anatomic position is utmost procedure. We have experienced 2 cases of pectus excavatum corrected by Ravitch method. After exposing the deformed sternum and cartilages, the deformed cartilages were resected for the full extent of their deformity. Then the sternum was fixed in its new position. A distance from the posterior surface of sternum to the anterior surface of vertebral body was estimated preoperatively and postoperatively. No serious complications were followed the use of this technique. The results were gratifying and cosmetically acceptable. Key Words: Pectus excavatum ,Ravitch method