PMID: 12778401Jun 5, 2003Paper

Evaluation of pectus bar position and osseous bone formation

Journal of Pediatric Surgery
Daniel J OstlieRonald J Sharp

Abstract

Minimally invasive repair has become a popular approach for pectus excavatum (PE). The bar is secured to the thoracic wall and left for approximately 2 years. The authors have noticed an intense bone formation (BF) around some of these bars at removal. A review of children undergoing bar removal was performed to better understand this BF in relation to bar placement. A retrospective review of children undergoing bar removal after PE repair since January 1998 was performed. Chart review included age at bar insertion and removal, bar insertion position (subcutaneous [SC] v submuscular [SM]), BF on Chest x-ray and at bar removal, operating time, and estimated blood loss (EBL). Thirty-six patients underwent bar removal during the study period (16 SC and 20 SM). Chest x-ray evaluation was possible in 27 patients (16 SM, 11 SC). No difference existed for length of time the bar was in place or age at insertion/removal between groups. EBL was higher in the SM (18.3 v 8.8 mL, not significant). BF was seen radiographically in 15 SM and 3 SC patients (P <.001). BF was encountered at removal in 19 SM patients and a single SC patient (P <.001). Operating time was statistically longer (P <.01) for the SM group (30.2 v 15.6 min). Bar position...Continue Reading

References

Apr 1, 1997·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·R SchönK Michi
Jun 14, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jeffrey P JacobsChristo I Tchervenkov
Oct 27, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Kasper GrosenHans K Pilegaard

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Citations

Dec 19, 2008·Langenbeck's Archives of Surgery·C CastellaniM E Hoellwarth
Nov 16, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Camilla NyboeHans K Pilegaard
Jan 1, 2007·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Laureano MolinsGonzalo Vidal
Feb 16, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Hiroaki KimuraSeiichiro Kobayashi
Feb 23, 2013·Asian Cardiovascular & Thoracic Annals·Tiziano De GiacomoFederico Venuta
Nov 1, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Filippo IncertiAntonio Messineo
Nov 25, 2020·Journal of Pediatric Surgery·Frank-Martin HaeckerMarcelo Martinez Ferro

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