Breast radiotherapy is a technical challenge in women with pectus excavatum. We aim to assess isocentric lateral decubitus (ILD) technique as a means to irradiate breasts for patients with pectus excavatum. Four women presenting with left-sided breast cancers and found to have pectus excavatum were offered breast-conserving treatments. Post-operative breast radiotherapy was indicated (50 Gy) in...

The purpose of this study was to use a meta-analytical technique to examine the efficacy of surgical repair of pectus excavatum on pulmonary function. Studies were retrieved via computerized literature searches, cross-referencing from original and review articles. Inclusion criteria were as follows: (1) reporting quantitative measures of preoperative and postoperative pulmonary function; (2) pu...

This case report describes the occurrence of intraventricular haemorrhage in a teenage boy, who was later found to have neurofibromatosis-1, cerebral vascular disease and pectus excavatum.

OBJECTIVE To determine the magnitude of the effects of pectus excavatum deformity on endurance fitness and cardiorespiratory functional reserve in adolescent boys. DESIGN Cross-sectional comparison of cardiac and ventilatory variables at rest and during a maximal cycle exercise test. SETTING Pediatric exercise-testing laboratory. PARTICIPANTS Twelve boys (mean +/- SD age, 14.1 +/- 1.8 yea...

OBJECTIVES The aim of this study was to clarify the short-term and mid-term outcomes of the modified Robicsek procedure using polypropylene mesh for adult pectus excavatum patients. METHODS Retrospective chart review was performed. Between 2001 and 2012, 46 consecutive adult patients underwent modified Ravitch repair using polypropylene mesh for pectus excavatum at our institution. There were...

Congenital chest wall or pectus deformities including pectus excavatum (funnel chest) and pectus carinatum (pigeon chest) affect a significant proportion of the general population and up to 70% of patients with Marfan syndrome. Patients often experience significant morbidity and psychological distress, which can worsen with age. Here we discuss new techniques for both operative and non-operativ...

The Nuss procedure requires the placement of metal bars in the chest cage to repair pectus excavatum. Metal allergies are one of the complications associated with this procedure. Given that titanium is a biocompatible metal, it induces few allergic symptoms. Therefore, titanium bars are recommended for patients with metal sensitivity. We report the case of a 17-year-old boy with pectus excavatu...

Pectus excavatum occurs in approximately 1 in 400 live births. The chest defect becomes progressively worse with growth and in the teenage years can become disabling. Although considered cosmetic, and it is most certainly cosmetic, there are also well documented physiological changes such as decreased effort tolerance and cardiac arrhythmias. The young patients become used to the che t disabili...