Case Report Pectus Scavatum: A Surgical Treatment

Pectus excavatum is a deformity where there is depression of the sternum and lower costal cartilages. 2 / Prevalence 1000, male predominance of 7: 1.

Most of the time has no functional damage to health, however, many patients turn away from social life and physical activities in which they expose the chest, which can generate a psychological disorder.

Most authors consider the pectus excavatum as an aesthetic defect, because in male patients, normal chest form is related to his vision of strength and virility, while in females the grotesque shape of the chest and breasts, whose position is also amended by sternal depression, greatly compromises the perception of femininity.

Patient 26 years old, female, Brazilian genre with chondrosternoplasty history (Ravith technique) for treatment of pectus excavatum, but still had major depression in the lower half of the sternum associated with bilateral severe hypomastia and convergence of CAPs.

a solid silicone implant 46 cm3 was produced, which was pre existing scar placed in the sternal region (Thoracic Surgery), submuscular, a first surgical time

Six months later, the growth of mammary stores expanders 500 ml was performed. three months after the surgery was performed to include anatomical mammary implants, 360 ml.

To correct the convergence of nipples, generated by the chest of the patient deformity, positioned anatomical implants in the transverse position, thereby leaving the area of lower volume, which is the upper pole on the side of the breast and the area of greatest volume and projection, that would be the inferior pole, on the medial side of the breast, producing slight lateralization of CAPs.

The result was satisfactory, with symmetrical breasts with CAPs in the correct position without causing complications.