Abstract
A method of evaluation of possible functional disturbances due to pectus excavatum is presented. With spirometric investigations and the bycicle exercise test in supine and upright position it is possible to distinguish between functional impairment caused by the deformity and a poor physical condition, which allows to select cases for osteoplasty or for augmentation. In a series of 17 cases the indication was psychosocial in 16 patients and only in 1 case was it functional. For masking the funnel deformity in situ polymerized Silastic RTV 382 is used which allows implantation by a short transverse incision over the xyphoid and gives satisfying results without undue complications.
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