Pectus excavatum correction enhanced by pectoralis muscletransposition: A new approach.

BACKGROUND: Indications for the surgical correction of pectus excavatum include func-tional/physiological, cosmetic, and psychosocial reasons. The most popular open technique forpectus excavatum repair was proposed by Ravitch in 1949 as an open approach that requires partialresection of the costal cartilage, xiphoid excision, and osteotomy of the sternum. The goal is to removeabnormal rib cartilage while preserving the perichondrium, allowing regrowth of the rib cartilage tothe sternum in a more anatomic manner. Operative technique. We present a case of bilateral pectoralismuscle flap transposition during a modified Ravitch procedure is presented herein. Conclusion: Thisapproach allows for a significant reduction in late complications and improves both functional andaesthetic outcomes.