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September 1953


Author Affiliations

Instructor in Surgery (Dr. Emerson).; Associate Professor of Surgery (Dr. Mahoney).; From the Department of Surgery, University of Rochester School of Medicine and Dentistry, and the Surgical Service of the Strong Memorial and Municipal Hospitals.

AMA Arch Surg. 1953;67(3):317-329. doi:10.1001/archsurg.1953.01260040324003

THE CONGENITAL funnel-chest deformity has been recognized for many years, but its adequate surgical correction is a relatively recent development. The historical aspects of our knowledge concerning this condition have been admirably summarized by Ochsner and DeBakey,1 and more recent reports have led to the present-day understanding of the essential features of the deformity. The purpose of this report is to consider the lessons which we have learned in the management of 18 patients during the past five years. At the beginning of our experience the indications for operation were not completely clear, the optimal time for operation was not well established and there was no uniformity of opinion as to the extent of operative procedure necessary in the various age groups. We now feel that the optimum age for the operation is about 5 years and reserve the limited operation of Brown2 for infants who are having

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