| Summary: | Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Deformity of the thorax is considered a relatively common deformity of wich funnel chest is the most common. The incidence in the general population has been reported 7.9/1000 based on examinations of 15000 individuals in London. During the period from March 1963 to January 1991, there were 61 procedures performed for correction of funnel chest at the Department of Thoracic Surgery, University Hospital, Landspitalinn, Reykjavik, Iceland. The patients ranged from 4 to 36 years of age, 45 males and 16 females . Fifty three were considered to have severe deformity and 8 less severe. All the procedures for funnel chest were performed in the same way after 1970. Transverse or longitudinal skin incisions were made over the sternum, the depressed costal cartilages on both sides were resected subperichondrially, transverse sternal osteotomi was done above the depressed part and the sternum lifted anteriorly and fixed with an iron rod driven through the sternum. The ends of the rod were sitting on the ribs on both sides and fixed with a wire to a rib at one end but no fixation was at the other end, thus giving the rod opportunity to move with breathing and exertion. The rod was usually removed after approximately 12 months when the thorax was stable. The cosmetic results were considered good or fair in 54 cases but unsatisfactory in six and in one case informations were missing from the medical record. Spirometry was performed in 29 cases and showed minor deviation in pulmonary function in 13 but was grossly abnormal in one. E.C.G. was performed in 53 cases with minor abnormality in 14 but markedly abnormal in one. Heart catheterizations were done in 2 cases one was normal and the other abnormal. It was the same patient who had severe symtoms of pulmomary and cardiac dysfunction before operation, but he became completely asymtomatic postoperatively. There was no mortality or severe complications. There were six infections ...
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