Treatment of bilateral mammary ptosis and pectus excavatum through the same incision in one surgical stage

Detalhes bibliográficos
Autor(a) principal: Rocha, Fernando Passos da [UNIFESP]
Data de Publicação: 2012
Outros Autores: Pires, Jefferson André, Torres, Vinicius Franchini, Fagundes, Djalma José [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S1516-31802012000300010
http://repositorio.unifesp.br/handle/11600/6900
Resumo: CONTEXT: Congenital deformities of the anterior thoracic wall are characterized by unusual development of the costal cartilages. All these medical conditions are frequently associated with a variety of breast deformities. Several surgical techniques have been described for correcting them, going from sternochondroplasty to, nowadays, minimally invasive techniques and silicone prosthesis implantation. CASE REPORT: The present article reports the case of a young female patient who presented bilateral mammary ptosis and moderate pectus excavatum that caused a protrusion between the eighth and the tenth ribs and consequent esthetic disharmony. The proposed surgical treatment included not only subglandular breast implants of polyurethane, but also resection of part of the rib cartilage and a bone segment from the eighth, ninth and tenth ribs by means of a single submammary incision in order to make the scar minimally visible. Correction through a single incision benefited the patient and provided an excellent esthetic result. CONCLUSIONS: The techniques used to repair bilateral mammary ptosis and pectus excavatum by plastic and thoracic surgery teams, respectively, have been shown to be efficient for correcting both deformities. An excellent esthetic and functional result was obtained, with consequent reestablishment of the patient's self-esteem.
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spelling Treatment of bilateral mammary ptosis and pectus excavatum through the same incision in one surgical stageTratamento da ptose mamária bilateral e do pectus excavatum através da mesma incisão no mesmo tempo cirúrgicoThoracic wallBreast implantsFunnel chestSurgery, plasticThoracic surgeryParede torácicaImplantes de mamaTórax em funilCirurgia plásticaCirurgia torácicaCONTEXT: Congenital deformities of the anterior thoracic wall are characterized by unusual development of the costal cartilages. All these medical conditions are frequently associated with a variety of breast deformities. Several surgical techniques have been described for correcting them, going from sternochondroplasty to, nowadays, minimally invasive techniques and silicone prosthesis implantation. CASE REPORT: The present article reports the case of a young female patient who presented bilateral mammary ptosis and moderate pectus excavatum that caused a protrusion between the eighth and the tenth ribs and consequent esthetic disharmony. The proposed surgical treatment included not only subglandular breast implants of polyurethane, but also resection of part of the rib cartilage and a bone segment from the eighth, ninth and tenth ribs by means of a single submammary incision in order to make the scar minimally visible. Correction through a single incision benefited the patient and provided an excellent esthetic result. CONCLUSIONS: The techniques used to repair bilateral mammary ptosis and pectus excavatum by plastic and thoracic surgery teams, respectively, have been shown to be efficient for correcting both deformities. An excellent esthetic and functional result was obtained, with consequent reestablishment of the patient's self-esteem.CONTEXTO: Deformidades congênitas da parede torácica anterior são caracterizadas pelo desenvolvimento anormal das cartilagens costais. Todas essas afecções são frequentemente associadas com as mais diferentes deformidades da mama. Várias técnicas cirúrgicas têm sido utilizadas para a correção desde as esternocondroplastias até, atualmente, técnicas minimamente invasivas e próteses de silicone. RELATO DE CASO: O presente artigo relata o caso de uma paciente jovem que apresentava ptose mamária bilateral e uma forma moderada de pectus excavatum que ocasionava uma protrusão entre a oitava e a décima costelas, tendo como consequencia a desarmonia estética. O tratamento cirúrgico proposto incluiu, além de implantes mamários sub-glandulares de poliuretano, ressecção de parte da cartilagem da costela e parte do segmento ósseo da oitava, nona e décima costelas por uma única incisão sub-mamária para tornar a cicatriz minimamente visível. A correção por meio de uma única incisão beneficiou a paciente, proporcionando excelente resultado estético. CONCLUSÕES: As técnicas utilizadas para reparação da ptose mamária bilateral e do pectus excavatum pelas equipes de cirurgia plástica e torácica, respectivamente, demonstraram-se eficazes para correção de ambas as deformidades. Foi obtido ótimo resultado estético e funcional com consequente retomada da auto-estima da paciente.Universidade Católica de PelotasUniversidade Federal de PelotasUniversidade Federal de São Paulo (UNIFESP) Department of Surgery Division of Operative Technique and Experimental SurgeryUNIFESP, Department of Surgery Division of Operative Technique and Experimental SurgerySciELOAssociação Paulista de Medicina - APMUniversidade Católica de PelotasUniversidade Federal de PelotasUniversidade Federal de São Paulo (UNIFESP)Rocha, Fernando Passos da [UNIFESP]Pires, Jefferson AndréTorres, Vinicius FranchiniFagundes, Djalma José [UNIFESP]2015-06-14T13:43:32Z2015-06-14T13:43:32Z2012-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion198-201application/pdfhttp://dx.doi.org/10.1590/S1516-31802012000300010ROCHA, Fernando Passos et al . Treatment of bilateral mammary ptosis and pectus excavatum through the same incision in one surgical stage. Sao Paulo Med. J., São Paulo , v. 130, n. 3, p. 198-201, 201210.1590/S1516-31802012000300010S1516-31802012000300010.pdf1516-3180S1516-31802012000300010http://repositorio.unifesp.br/handle/11600/6900WOS:000306368400010engSão Paulo Medical Journalinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-05T04:10:48Zoai:repositorio.unifesp.br/:11600/6900Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-05T04:10:48Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Treatment of bilateral mammary ptosis and pectus excavatum through the same incision in one surgical stage
Tratamento da ptose mamária bilateral e do pectus excavatum através da mesma incisão no mesmo tempo cirúrgico
title Treatment of bilateral mammary ptosis and pectus excavatum through the same incision in one surgical stage
spellingShingle Treatment of bilateral mammary ptosis and pectus excavatum through the same incision in one surgical stage
Rocha, Fernando Passos da [UNIFESP]
Thoracic wall
Breast implants
Funnel chest
Surgery, plastic
Thoracic surgery
Parede torácica
Implantes de mama
Tórax em funil
Cirurgia plástica
Cirurgia torácica
title_short Treatment of bilateral mammary ptosis and pectus excavatum through the same incision in one surgical stage
title_full Treatment of bilateral mammary ptosis and pectus excavatum through the same incision in one surgical stage
title_fullStr Treatment of bilateral mammary ptosis and pectus excavatum through the same incision in one surgical stage
title_full_unstemmed Treatment of bilateral mammary ptosis and pectus excavatum through the same incision in one surgical stage
title_sort Treatment of bilateral mammary ptosis and pectus excavatum through the same incision in one surgical stage
author Rocha, Fernando Passos da [UNIFESP]
author_facet Rocha, Fernando Passos da [UNIFESP]
Pires, Jefferson André
Torres, Vinicius Franchini
Fagundes, Djalma José [UNIFESP]
author_role author
author2 Pires, Jefferson André
Torres, Vinicius Franchini
Fagundes, Djalma José [UNIFESP]
author2_role author
author
author
dc.contributor.none.fl_str_mv Universidade Católica de Pelotas
Universidade Federal de Pelotas
Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Rocha, Fernando Passos da [UNIFESP]
Pires, Jefferson André
Torres, Vinicius Franchini
Fagundes, Djalma José [UNIFESP]
dc.subject.por.fl_str_mv Thoracic wall
Breast implants
Funnel chest
Surgery, plastic
Thoracic surgery
Parede torácica
Implantes de mama
Tórax em funil
Cirurgia plástica
Cirurgia torácica
topic Thoracic wall
Breast implants
Funnel chest
Surgery, plastic
Thoracic surgery
Parede torácica
Implantes de mama
Tórax em funil
Cirurgia plástica
Cirurgia torácica
description CONTEXT: Congenital deformities of the anterior thoracic wall are characterized by unusual development of the costal cartilages. All these medical conditions are frequently associated with a variety of breast deformities. Several surgical techniques have been described for correcting them, going from sternochondroplasty to, nowadays, minimally invasive techniques and silicone prosthesis implantation. CASE REPORT: The present article reports the case of a young female patient who presented bilateral mammary ptosis and moderate pectus excavatum that caused a protrusion between the eighth and the tenth ribs and consequent esthetic disharmony. The proposed surgical treatment included not only subglandular breast implants of polyurethane, but also resection of part of the rib cartilage and a bone segment from the eighth, ninth and tenth ribs by means of a single submammary incision in order to make the scar minimally visible. Correction through a single incision benefited the patient and provided an excellent esthetic result. CONCLUSIONS: The techniques used to repair bilateral mammary ptosis and pectus excavatum by plastic and thoracic surgery teams, respectively, have been shown to be efficient for correcting both deformities. An excellent esthetic and functional result was obtained, with consequent reestablishment of the patient's self-esteem.
publishDate 2012
dc.date.none.fl_str_mv 2012-01-01
2015-06-14T13:43:32Z
2015-06-14T13:43:32Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S1516-31802012000300010
ROCHA, Fernando Passos et al . Treatment of bilateral mammary ptosis and pectus excavatum through the same incision in one surgical stage. Sao Paulo Med. J., São Paulo , v. 130, n. 3, p. 198-201, 2012
10.1590/S1516-31802012000300010
S1516-31802012000300010.pdf
1516-3180
S1516-31802012000300010
http://repositorio.unifesp.br/handle/11600/6900
WOS:000306368400010
url http://dx.doi.org/10.1590/S1516-31802012000300010
http://repositorio.unifesp.br/handle/11600/6900
identifier_str_mv ROCHA, Fernando Passos et al . Treatment of bilateral mammary ptosis and pectus excavatum through the same incision in one surgical stage. Sao Paulo Med. J., São Paulo , v. 130, n. 3, p. 198-201, 2012
10.1590/S1516-31802012000300010
S1516-31802012000300010.pdf
1516-3180
S1516-31802012000300010
WOS:000306368400010
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv São Paulo Medical Journal
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 198-201
application/pdf
dc.publisher.none.fl_str_mv Associação Paulista de Medicina - APM
publisher.none.fl_str_mv Associação Paulista de Medicina - APM
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1814268267449024512

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