Three surgical cases of acute angle deformity caused by severe pectus excavatum and pectus carinatum
10.3760/cma.j.cn114453-20240820-00216
- VernacularTitle:严重漏斗胸、鸡胸致胸廓锐角畸形3例矫治经验
- Author:
Bin CAI
1
;
Wenlin WANG
1
;
Yang LIU
1
;
Juan LUO
1
;
Shaoyi ZHENG
1
Author Information
1. 暨南大学附属广东省第二人民医院胸壁外科研究院,广州 510080
- Publication Type:Journal Article
- Keywords:
Pectus excavatum;
Pectus carinatum;
Acute angle deformity;
Thoracic deformity;
Orthopaedic surgery
- From:
Chinese Journal of Plastic Surgery
2025;41(4):401-406
- CountryChina
- Language:Chinese
-
Abstract:
From August 2019 to July 2024, the Institute of Chest Wall Surgery at the Affiliated Guangdong Second Provincial General Hospital of Jinan University admitted multiple patients with severe thoracic deformities. Authors summarized the characteristics and treatment measures of three cases with typical acute-angled thoracic deformities. Three patients aged from 15 to 21 year-old were suffered from severe pectus excavatum, pectus carinatum, and complex thoracic deformities, respectively. Visually, the local bones were severely distorted, and CT scans showed that the local bones formed acute-angled intersections. Three patients underwent Wung surgery, Wenlin surgery, and Wang+ Wenlin surgery. During the operation, based on pre-shaping, the principle of template shaping was applied to implement correction, and the process was uneventful. All deformities were satisfactorily corrected. There were no postoperative complications such as bleeding, pneumothorax, or poor wound healing during 8 months to 4 years of follow-up. Acute angle deformity is a special type of thoracic deformity, and its occurrence often indicates that the local deformity is severe and complex. Therefore, in treatment, surgeons are required to first understand the basic principle of thoracic deformity correction, have a strong comprehension of the overall deformity, and be skillful and experienced in applying various thoracic deformity correction techniques.