The Nuss procedure for pectus excavatum: evolution of techniques and early results on 322 patients Hyung Joo Park, MD, Seock Yeol Lee, MD, Cheol Sae.

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Presentation transcript:

The Nuss procedure for pectus excavatum: evolution of techniques and early results on 322 patients Hyung Joo Park, MD, Seock Yeol Lee, MD, Cheol Sae Lee, MD, Wook Youm, MD, Kihl Roh Lee, MD The Annals of Thoracic Surgery Volume 77, Issue 1, Pages 289-295 (January 2004) DOI: 10.1016/S0003-4975(03)01330-4

Fig 1 Computed tomography scans of various morphologic types of pectus excavatum. See text for details. O = center of the sternum (C point); * = center of the depression (P point); #E point = protruded point of chest wall; @ = angles of each chest wall are different (α < β). The Annals of Thoracic Surgery 2004 77, 289-295DOI: (10.1016/S0003-4975(03)01330-4)

Fig 2 Various shapes of the Nuss bar. (1) Classic. (2) Bridge. (3) Asymmetric. (4) Seagull (5) Hump. (6) Compound. (C = center of the bar; D = diameter of the circle; E = elevated point of the sternum; H = hinge points; P = deepest point of pectus.) The Annals of Thoracic Surgery 2004 77, 289-295DOI: (10.1016/S0003-4975(03)01330-4)

Fig 3 Five-point fixation technique. View of the anterior portion of the right thorax: end hole fixation technique (A) and hinge point fixation on the right (B). See text for details. The Annals of Thoracic Surgery 2004 77, 289-295DOI: (10.1016/S0003-4975(03)01330-4)

Fig 4 Distribution of age at the time of surgery. (A = number of adults, older than 15 years; C = number of children, 15 years old or younger; N = total number of patients in the series.) The Annals of Thoracic Surgery 2004 77, 289-295DOI: (10.1016/S0003-4975(03)01330-4)