a three day old neonate was referred to our department with a problem of a sternal cleft. sternal clefts are often associated with a myriad of other abnormalities ranging from mild to severe. we present our experience with such a problem, and review the current literature concerning it.

Most injuries to the chest wall with residual deformity do not result in long-term respiratory dysfunction unless they are associated with pulmonary contusion. Indications for operative fixation include flail chest, reduction of pain and disability, a chest wall deformity or defect, symptomatic nonunion, thoracotomy for other indications, and open fractures. Operative indications for chest wall...

The operative indications for rib fracture repair have been a matter of debate. However, several reports have suggested that flail chest, pain on respiration, and chest deformity/defect are potential conditions for rib fracture repair. We describe our experience of rib fixation in a patient with severe chest deformity due to multiple rib fractures. A 70-year-old woman was admitted with right-si...

Pectus excavatum is the most common congenital deformity of the chest wall. The most frequently used techniques include Ravitch (costochondral resection) and Nuss (minimally invasive pectus repair of pectus excavatum [MIRPE]). The Nuss technique includes using temporary metallic bars without costochondral resection to correct the chest wall deformity. Modified MIRPE can be learned easily and pe...

Poland’s syndrome is a rarely encountered congenital deficiency involving chest wall and breast deformity associated with hand anomalies. Chest wall reconstruction is necessary if the bony thorax is involved. We present the use of a homologous preserved costal cartilage for reconstruction of the chest wall in an infant with Poland’s syndrome, the use of which provided optimal chest wall stabili...

Pectus excavatum is a common thoracic deformity, and Nuss procedure considered as the standard operation for treatment of this deformity. However, there are often cases failure in clinic. Once such situation occurs, it needs to be operated again. Since can cause adhesions behind sternum bilateral cavities, if still used reoperation, not only very difficult, but also possible heart lung injuries...