Preverb
1. Introduction Historical treatment
2. Deformities of the anterior thoracic wall
2.1 Anatomy and function of the thoracic cage
2.2. Etiology, Genetics
2.3. Classification/Definition (Description of typical deformities )
2.3.1. Funnel chest
Subgroups
2.3.2. Keel Chest
Subgroups
2.3.3. Pectus arcuatum
2.3.4. Mixed Deformities
2.3.5. Cleft Sternum
2.3.6. Poland Syndrome, Amazone Syndrome
2.3.7. Other congenital anomalies of the thoracic wall
3. Diagnostics
3.1. Photography
3.2. Measurement circle
3.3. X-ray
3.4. CT-scan
3.5. Volume rendering three-dimensional-CT reconstruction
3.6. Ergometry
3.7. Psychological investigation
4. Aspects of indication setting for selection of individual therapy
5. Therapy
5.1. Basic surgical techniques, principles, methods of skin incision
5.2. Patient positioning
5.3. Special surgical techniques
5.3.1. Surgery of the funnel chest
5.3.1.1. MIRPE, the Nuss technique
in children
in adults
5.3.1.2. Custom-made silicone implant
5.3.1.3. The Ravitch procedure
5.3.1.4. The Erlangen methode
5.3.1.5. The Leonard procedure
5.3.1.6. Vacuum bell after Klobe (non surgical)
5.3.1.7. Autologuous tissue implantation
5.3.1.7.1. Cartilage chips
5.3.1.7.2. Lipofilling
5.3.1.7.3. Local flaps
5.3.1.7.4. Mikrovascular flaps
5.3.1.7.5. Mikrovascular sternum turn-over
5.3.1.8. Special technical aspects, thoracoscopy
5.3.1.9. Special anaesthetical aspects,
double lumen intubation, pain control
5.3.1.10. Combined surgey of funnel chest with associated anomalies or diseases
5.3.1.11. Pectus bar removal technique
5.3.2. Surgery of the keel chest
5.3.2.1. The Ravitch technique
5.3.2.2. Modification with bioabsorbable implants and muscle splitting technique, the Innsbruck concept
5.3.2.3. Special after-treatment, keel chest device
5.3.3. Surgery of Pectus arcuatum
5.3.4. Surgery of mixed deformities
5.3.5. Surgery of Poland syndrome, Amazone syndrome
free flaps for treatment of Poland Syndrome
5.3.6. Surgery of other congenital anomalies of the anterior thoracic wall
6. Complications, special problems
7. Follow-up, long term follow-up
8. Special instruments
9. Actual technical improvements, future aspects, 3 D Scanning and computerized remodelling
10. List of authors
Index
