Abstract
Skeletal deformities in the form of pectus excavatum or scoliosis are unavoidable sequalae of large diaphragmmatic defects irrespective of the technique of repair used at the time of primary procedure. These sequelae lead to cosmetic and functional issues in the rapidly growing skeleton of a young child. The crux of management is adequate correction of these deformities with minimal residual functional impairment. A customized case-based approach using the modified Ravitch procedure is an excellent technique to repair these pectus defects. We describe such a procedure in a 3-year-old girl. Keywords : congenital diaphragmmatic hernia, pectus excavatum, Ravitch procedure
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