Pectus Excavatum and Poland Syndrome Surgery Custom-Made Silicone Im

This book with accompanying videos focuses on pectus excavatum correction using custom-made silicone implants. It discusses patient evaluation, the minimally invasive procedure and follow-up care. It also describes in detail, and in a way that is comprehe

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Pectus Excavatum and Poland Syndrome Surgery

Jean-Pierre Chavoin Editor

Pectus Excavatum and Poland Syndrome Surgery Custom-Made Silicone Implants by Computer Aided Design

Editor Jean-Pierre Chavoin Plastic Surgery Department Rangueil Hospital, Toulouse University Hospital Toulouse France

ISBN 978-3-030-05107-5    ISBN 978-3-030-05108-2 (eBook) https://doi.org/10.1007/978-3-030-05108-2 Library of Congress Control Number: 2019930167 © Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Preface

Congenital chest abnormalities such as pectus excavatum and Poland syndrome are well known to be mostly a real psychological and social problem because of this morphological difference and asymmetries. Research on the genetic background and a probable vascular embryologic origin of these outbreaks is very interesting (Chaput); mostly, these can be associated with each other or with other conditions like tuberous breasts in women. The fibrous network could be induced by a lack of vascularization so that the normal growth of cartilage, muscles, and breasts is stopped or slowed down. Pectus excavatum is by far the most common with at least 1/1000 patients, but it is difficult to obtain statistics on this malformation which is not often seen at birth as in the case of Poland (1/30,000). In addition, many patients have mild deformity and asymmetry that are not obvious for physicians, as there are no functional disorders and surgical solutions are too invasive. The respiratory (Daussy) and cardiac (Shah) functions seem to be, in most cases, compatible with a normal life: the benefit/risk balance clearly supports plastic surgeries because they offer good aesthetic r