August 8, 2012 – Approved by the APSA Board of Governors

References

1. Ravitch MM. 1986. The chest wall. In: Welch KJ, Randolph JG, Ravitch MM O’Neill JA, and Rowe MI. editors. Pediatric Surgery 4th Edition. New York (NY): 578-561.

2. Haje SA, Harcke HT, Bowen JR. 1999. Growth disturbance of the sternum and pectus deformities: imaging studies and clinical correlation. Pediatr Radiol. 29: 334-341. https://doi.org/10.1007/s002470050602; PMid:10382210

3. Shamberger RC, Welch KJ. 1987. Surgical correction of pectus carinatum. J Pediatr Surg. 22: 48-53. https://doi.org/10.1016/S0022-3468(87)80014-3

4. Welch KJ, Vos A. 1973. Surgical correction of pectus carinatum (pigeon breast). Jour Pediatr Surg. 8: 659-667. https://doi.org/10.1016/0022-3468(73)90404-1

5. Golladay ES, Golladay GJ. 1997. Chest wall deformities. Indian Jour Pediatr 64: 339-350. https://doi.org/10.1007/BF02845203; PMid:10771855

6. Fonkalsrud EW, Beanes S. 2001. Surgical management of pectus carinatum: 30 years’ experience. World Jour Surg. 25: 398-403. https://doi.org/10.1007/s00268-001-0048-x

7. De Souza Coelho M, De Souza Fonseca Guimaraaes P. 2007. Pectus carinatum. J Bras Pneumol. 44(4): 463-474. https://doi.org/10.1590/S1806-37132007000400017

8. Fonkalsrud EW, Mendoza J. 2006. Open repair of pectus excavatum and carinatum deformities with minimal cartilage resection. Am Jour Surg. 191: 779-784. https://doi.org/10.1016/j.amjsurg.2005.12.012; PMid:16720148

9. Steinmann C, Krille S, Mueller A, Weber P, Reingruber B. Martin A. 2011. Pectus excavatum and pectus carinatum patients suffer from lower quality of life an impaired body image: a control group comparison of psychological characteristics prior to surgical correction. Eur Jour Cardio- Thorac Surg. 40: 1138-1145. https://doi.org/10.1016/j.ejcts.2011.02.019

10. Shamberger RC, Welch KJ, Castaneda AR, Keane JF, Fyler DC. 1988. Anterior chest wall deformities and congenital heart disease. Jour Thorac Cardiovasc Surg. 96: 427-432. PMid:3411988

11. Blanco FC, Elliott ST, Sandler AD. 2011. Management of congenital chest wall deformities. Sem in Plastic Surg. 25(1): 107-116. https://doi.org/10.1055/s-0031-1275177; PMid:22294949 PMCid:PMC3140238

12. De Paepe A, Devereus BB, Dietz HC et al. 1996. Revised diagnostic criteria for the Marfan syndrome. Am J Med Genet. 62: 417-426. https://doi.org/10.1002/(SICI)1096-8628(19960424)62:4<417::AID-AJMG15>3.3.CO;2-S; https://doi.org/10.1002/(SICI)1096-8628(19960424)62:4<417::AID-AJMG15>3.0.CO;2-R

13. Willekes CL, Backer CL, Mavroudis C. 1999. A 26 year review of pectus deformity repairs, including simultaneous intracardiac repair. Ann Thorac Surg. 67: 511-518. https://doi.org/10.1016/S0003-4975(99)00015-6

14. Chidambaram B, Mehta AV. 1992. Currarino-Silverman syndrome (pectus carinatum type 2 deformity) and mitral valve disease. Chest. 102: 780-782. https://doi.org/10.1378/chest.102.3.780; PMid:1516402

15. Mansour KA, Thourani VH, Odessey EQ, Durham MM et al. 2003. Thirty-year experience with repair of pectus deformities in adults. Ann Thorac Surg. 76: 391-395. https://doi.org/10.1016/S0003-4975(03)00441-7

16. Fonkalsrud EW, DeUgarte D, Choi E. 2002. Repair of pectus excavatum and carinatum deformities in 116 adults. Ann Surg. 236(3): 304-314. https://doi.org/10.1097/00000658-200209000-00007; PMid:12192317 PMCid:PMC1422584

17. Jaroszewski DE, Fonkalsrud EW. Repair of pectus chest deformities in 320 adult patients: 21 year experience. Ann Thorac Surg 2007; 84:429-433. https://doi.org/10.1016/j.athoracsur.2007.03.077; PMid:17643611

18. Medicare Benefits Manual (Pub 100-2), Chapter 16, 120- Cosmetic Surgery.

19. American Medical Association, 1989 House of Delegates, Policy Statement H-475.992. Definitions of “Cosmetic” and “Reconstructive” Surgery. Chicago: American Medical Association.

20. Egan, JC, DuBois JJ, Morphy M, Samples TL, Lindell B. 2000. Compressive orthotics in the treatment of asymmetric pectus carinatum: a preliminary report with an objective radiographic marker. J Pediatr Surg. 35:1183-1186. https://doi.org/10.1053/jpsu.2000.8724; PMid:10945691

21. Haje SA, Bowen JR. Preliminary results of orthotic treatment of pectus deformities in children and adolescents. J Pediatr Orthop 1992; 12:795-800. https://doi.org/10.1097/01241398-199211000-00018

22. Stephenson JT, DuBois J. 2008. Compressive orthotic bracing in the treatment of pectus carinatum: the use of radiographic markers to predict success. J Pediatric Surgery. 43: 1776-1780. https://doi.org/10.1016/j.jpedsurg.2008.03.049; PMid:18926206

23. Banever GT, Konefal SH, Gettens K, Moriarty K. 2006. Nonoperative correction of pectus carinatum with orthotic bracing. J Laparoendosc and Adv Surg Tech. 16(2):164-167. https://doi.org/10.1089/lap.2006.16.164; PMid:16646710

24. Fonkalsrud EW, Anselmo DM. 2004. Less extensive techniques for repair of pectus carinatum: the undertreated chest deformity. J Am Coll Surg. 1998: 898-905. https://doi.org/10.1016/j.jamcollsurg.2004.02.016; PMid:15194071

25. Shamberger RC. 2006. Congenital chest wall deformities In Grosfeld JL, O’Neill JA, Fonkalsrud EW, and Coran AG editors. Pediatric Surgery. 6th Edition Philadelphia (PA): 904-905.

26. Davis JT, Weinstein S. 2004. Repair of the pectus deformity: results of the Ravitch approach in the current era. Ann Thorac Surg. 78: 421-426. https://doi.org/10.1016/j.athoracsur.2004.03.011; PMid:15276489

27. Poullis M. 2010. Modified Nuss repair for pectus carinatum. Interactive CardioVascular and Thoracic Surgery. 11: 221-222. https://doi.org/10.1510/icvts.2010.241026; PMid:20591894

28. Schwabegger AH, Jeschke J, Scheuetz T, Del Frari B. 2008. Refinements in pectus carinatum correction: the pectoralis muscle split technique. J Pediatr Surg. 43: 771-774. https://doi.org/10.1016/j.jpedsurg.2007.12.066; PMid:18405734

29. Abramson H, D’Agostino J, Wuscovi S. 2009. A 5-year experience with a minimally invasive technique for pectus carinatum repair. J Pediatr Surg. 44: 118-124. https://doi.org/10.1016/j.jpedsurg.2008.10.020; PMid:19159728

30. Varela P, Torre M. 2011. Thoracoscopic cartilage resection with partial perichondrium preservation in unilateral pectus carinatum: preliminary results. J Pediatr Surg. 46: 263-266. https://doi.org/10.1016/j.jpedsurg.2010.08.010; PMid:21238683

31. Kim S, Idowu O. 2009. Minimally invasive thoracoscopic repair of unilateral pectus carinatum. J Pediatr Surg. 44: 471-474. https://doi.org/10.1016/j.jpedsurg.2008.09.020; PMid:19231561

32. Schaarschmidt K, Kolberg-Schwerdt A, Lempe M, Schlesinger F. 2006. New endoscopic minimal access pectus carinatum repair using subpectoral carbon dioxide. Ann Thorac Surg. 81: 1099-1104. https://doi.org/10.1016/j.athoracsur.2005.10.042; PMid:16488731

33. Golladay ES. 2003. Pectus carinatum and other deformities of the chest wall. In: Ziegler MM, Azizkan RG, Weber TR, editors. Operative pediatric surgery. New York (NY), McGraw-Hill: 269-277.

34. Goretsky MJ. Kelly RE, Croitoru D, Nuss D. 2004. Chest wall anomalies: pectus excavatum and pectus carinatum. Adolesc Med. 15: 455-471. https://doi.org/10.1016/j.admecli.2004.06.002

35. Ha HI, Seo JB, Lee SH et al. 2007. Imaging of marfan syndrome: multisystemic manifestations. Radiographics. 27: 989-1004. https://doi.org/10.1148/rg.274065171; PMid:17620463

36. Frey AS, Garcia VF, Brown RL, Inge TH, Ryckman FC, Cohen AP, et al. 2006. Nonoperative management of pectus carinatum. Jour Pediatr Surg. 41: 40-45. https://doi.org/10.1016/j.jpedsurg.2005.10.076; PMid:16410105

37. Calloway EH, Chotani AN, Lee YZ, Phillips JD. 2011. Three-dimensional computed tomography for evaluation and management of children with complex chest wall anomalies: useful information or just pretty pictures? Jour Pediatr Surg. 46: 640-647. https://doi.org/10.1016/j.jpedsurg.2010.10.013; PMid:21496531 PMCid:PMC3838878

38. Lawson ML, Barnes-Ely M, Burke BL et al. 2006. Reliability of a standardized protocol to calculate cross-sectional chest area and severity indices to evaluate pectus excavatum. J Pediatr Surg. 41(7): 1219-1225. https://doi.org/10.1016/j.jpedsurg.2006.03.003; PMid:16818052

39. Fonkalsrud EW. Surgical correction of pectus carinatum: lessons learned from 260 patients. J Pediatr Surg 2008 43:1235-1243. https://doi.org/10.1016/j.jpedsurg.2008.02.007; PMid:18639675

40. Shamberger RC, Nuss D, Goretsky MJ. 2006. Surgical treatment of chest wall deformities. In: Spitz L, Coran AG. Editors. Operative Pediatric Surgery. 6th Edition. London (UK): Hodder Arnold: 209-226. https://doi.org/10.1201/b13237-30

41. Kravarusic D, Dicken BJ, Dewar R, Harder J et al. 2006. The Calgary protocol for bracing of pectus carinatum: a preliminary report. J Pediatr Surg. 41: 923-926. https://doi.org/10.1016/j.jpedsurg.2006.01.058; PMid:16677884

42. Lee SY, Lee SJ, Jeon CW, Lee CS, Lee KR. 2008. Effect of the compressive brace in pectus carinatum. Eur Jour Cardio-Thorac Surg. 34(1): 146-149. https://doi.org/10.1016/j.ejcts.2008.04.012; PMid:18479931

43. Haje SA, Haje DP. 2006. Overcorrection during treatment of pectus deformities with DCC orthoses: experience in 17 cases. International Orthopaedics. 30: 262-267. https://doi.org/10.1007/s00264-005-0060-0; PMid:16474937 PMCid:PMC2532136

44. Haller JA, Colombani PM, Humphreis CT, Azizkhan RG et al. 1996. Chest wall constriction after too extensive and too early operations for pectus excavatum. Ann Thorac Surg. 61: 1618-1625. https://doi.org/10.1016/0003-4975(96)00179-8

45. Pretorius ES, Haller JA, Fishman EK. 1998. Spiral ct with 3d reconstruction in children requiring reoperation for failure of chest wall growth after pectus excavatum surgery: preliminary observations. Clin Imaging. 22(2): 108-116. https://doi.org/10.1016/S0899-7071(97)00073-9

46. Robicsek F and Fokin AA. 2004. How not to do it: restrictive thoracic dystrophy after pectus excavatum repair. Interact Cardio-Vasc and Thorac Surg. 3:566-568. https://doi.org/10.1016/j.icvts.2004.06.007; PMid:17670312