Abstract
Thoracic malformations have for many years been the subject of research with regard to surgical reconstruction. Many different surgical techniques have been proposed by different authors. Filling by prosthetic surgery is a simple and minimally invasive technique and offers very good results. However, the manufacture of the prostheses remains a problem, the implant being produced in accordance with the visible deformation of the skin and not that of the surgical plane where it will be placed. Thanks to the evolution of computer science and computer-aided design (CAD) techniques, we present here the treatment of congenital malformations of the ribcage such as Pectus Excavatum and Poland syndrome by the use of custom-made prostheses made of silicone elastomer, made by CAD taking into account precisely the deformation of the surgical plane.
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References
Chavoin J-P, Grolleau J-L, Moreno B, Brunello J, André A, Dahan M, et al. Correction of Pectus Excavatum by custom-made silicone implants: contribution of computer-aided design reconstruction. A 20-year experience and 401 cases. Plast Reconstr Surg. 2016;137(5):860e.
Chavoin JP, Dahan M, Grolleau JL, Soubirac L, Wagner A, Foucras L, et al. Funnel chest: filling technique with deep custom made implant. Ann Chir Plast Esthet. 2003;48(2):67–76.
Chavoin J, Grolleau J, Lavigne B, Darbas D, Dahan M, Pomard P. Chirurgie des malformations du thorax. Encycl Méd Chir. Techniques chirurgicales – Chirurgie plastique reconstructrice et esthétique. Paris: Elsevier; 1998. p. 45–671.
Chichery A, Jalibert F, Foucras L, Grolleau J, Chavoin J. Syndrome de Poland - EMC Techniques chirurgicales - Chirurgie plastique reconstructrice et esthétique; 2006. p. 17.
Fournier-Masse M, Castaing H, Fournet J, Glicenstein J, Duhamel B. Le syndrome de Poland. À propos de vingt observations. Ann Pediatr (Paris). 1976;23(4):285–92.
Pers M. Aplasias of the anterior Thoracic Wall, the pectoral muscles, and the breast. Scand J Plast Reconstr Surg. 1968;2(2):125–35.
Murray J. Correction of pectus excavatum by synthetic subcutaneous implant. Philadelphia: American Society of Plastic and Reconstructive Surgery; 1965.
Marks M, Argenta L, Lee D. Silicone implant correction of Pectus Excavatum: indications and refinement in technique. Plast Reconstr Surg. 1984;74:52–8.
Masson JK, Payne WS, Gonzalez JB. Pectus Excavatum: use of preformed prosthesis for correction in the adult. Plast Reconstr Surg. 1970;46(4):399.
Mendelson B, Masson JK. Silicone implants for contour deformities of the trunk. Plast Reconstr Surg. 1977;59(4):538–44.
Stanford W, Bowers DG, Lindberg EF, Armstrong RG, Finger ER, Dibbell DG. Silastic implants for correction of Pectus Excavatum: a new technique. Ann Thorac Surg. 1972;13(6):529–36.
Nordquist J, Svensson H, Johnsson M. Silastic implant for reconstruction of Pectus Excavatum: an update. Scand J Plast Reconstr Surg Hand Surg. 2001;35(1):65–9.
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Moreno, B., Leyx, P., Chavoin, JP. (2019). Computer-Aided Design: Prototyping and Manufacturing (Pectus Excavatum and Poland Syndrome). In: Chavoin, JP. (eds) Pectus Excavatum and Poland Syndrome Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-05108-2_2
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DOI: https://doi.org/10.1007/978-3-030-05108-2_2
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