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February 1962

Funnel Chest: Modification of the Surgical Procedure to Reduce Residual Depression

Author Affiliations

From the Surgical Service of The Roosevelt Hospital.

Arch Surg. 1962;84(2):170-173. doi:10.1001/archsurg.1962.01300200018002

The surgical correction of funnel chest deformity by various methods of radical sternoplasty has been satisfactory.1-3 However, despite the many good results, there have been some delayed recurrences of the depression with or without functional impairment. It is the purpose of this report to describe a modification of the radical surgical procedure designed to reduce residual depression and actual recurrence. During the past 2 years it has been advisable to employ this modified operation in 12 cases, and it has given excellent early results.

Actual recurrence of funnel chest deformity after adequate radical sternoplasty (not simple sternoplasty) is rare, occurring in 2 of 171 patients in our series. By actual recurrence is meant not only recurrence of the depression, but also displacement of the sternum to the plane of the angle of Louis or behind it, paradoxical or limited motion of the lower end of the sternum during respiration,

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