caa a22 4500 465772021 CHVBK 20180323111931.0 cr unu---uuuuu 170327e19900501xx s 000 0 eng 10.1007/BF00179655 doi (NATIONALLICENCE)springer-10.1007/BF00179655 The effect of costal cartilage resection on chest wall development [Elektronische Daten] [Debbie Martinez, Juan Juame, Theodore Stein, Alberto Peña] The surgical repair of anterior chest malformations such as pectus excavatum and pectus carinatum frequently includes resection of the costal cartilages. Although this operation corrects the external deformity, we have observed that subsequent growth of the chest seems to be restricted, particularly in its anteroposterior (AP) diameter. This study examined the effect of removal of costal cartilage at an early age on chest wall development. Four groups of young rabbits were included: group I underwent complete subperichondrial resection of the costal cartilages excluding the 1st cartilage; group II underwent resection of the internal three-fourths of the costal cartilages; group III underwent complete resection of the costal cartilages with the additional placement of a metallic strut behind the lower half of the body of the sternum; group IV served as a control. Each group included 10 animals. Chest growth was evaluated monthly in all animals. A striking chest growth deficit, mainly in AP diameter, was noticed in those animals that underwent total and partial cartilage resection with or without placement of a metal strut. These results suggest that the costal cartilages play an important role in chest growth. It appears necessary to develop alternative techniques that avoid the removal of costal cartilages and to re-evaluate the optimal age for repair of these malformations. Springer-Verlag, 1990 Anterior chest malformations nationallicence Pectus excavatum nationallicence Pectus carinatum nationallicence Costal cartilage removal nationallicence Chest growth nationallicence Martinez Debbie Department of Surgery, Division of Pediatric Surgery, Schneider Children's Hospital, Long Island Jewish Medical Center, Long Island Campus for the Albert Einstein Medical College, New York and the State University of New York at Stony Brook, New Hyde Park, Stony Brook, New York, USA aut Juame Juan Department of Surgery, Division of Pediatric Surgery, Schneider Children's Hospital, Long Island Jewish Medical Center, Long Island Campus for the Albert Einstein Medical College, New York and the State University of New York at Stony Brook, New Hyde Park, Stony Brook, New York, USA aut Stein Theodore Department of Surgery, Division of Pediatric Surgery, Schneider Children's Hospital, Long Island Jewish Medical Center, Long Island Campus for the Albert Einstein Medical College, New York and the State University of New York at Stony Brook, New Hyde Park, Stony Brook, New York, USA aut Peña Alberto Department of Surgery, Division of Pediatric Surgery, Schneider Children's Hospital, Long Island Jewish Medical Center, Long Island Campus for the Albert Einstein Medical College, New York and the State University of New York at Stony Brook, New Hyde Park, Stony Brook, New York, USA aut Pediatric Surgery International Springer-Verlag 5/3(1990-05-01), 170-173 0179-0358 5:3<170 1990 5 383 https://doi.org/10.1007/BF00179655 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00179655 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Martinez Debbie Department of Surgery, Division of Pediatric Surgery, Schneider Children's Hospital, Long Island Jewish Medical Center, Long Island Campus for the Albert Einstein Medical College, New York and the State University of New York at Stony Brook, New Hyde Park, Stony Brook, New York, USA aut NATIONALLICENCE 700 1- Juame Juan Department of Surgery, Division of Pediatric Surgery, Schneider Children's Hospital, Long Island Jewish Medical Center, Long Island Campus for the Albert Einstein Medical College, New York and the State University of New York at Stony Brook, New Hyde Park, Stony Brook, New York, USA aut NATIONALLICENCE 700 1- Stein Theodore Department of Surgery, Division of Pediatric Surgery, Schneider Children's Hospital, Long Island Jewish Medical Center, Long Island Campus for the Albert Einstein Medical College, New York and the State University of New York at Stony Brook, New Hyde Park, Stony Brook, New York, USA aut NATIONALLICENCE 700 1- Peña Alberto Department of Surgery, Division of Pediatric Surgery, Schneider Children's Hospital, Long Island Jewish Medical Center, Long Island Campus for the Albert Einstein Medical College, New York and the State University of New York at Stony Brook, New Hyde Park, Stony Brook, New York, USA aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/3(1990-05-01), 170-173 0179-0358 5:3<170 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer