Correction of pectus excavatum anterior chest wall deformity in adults using custom made silicone implant

Pectus excavatum is the most common deformity of the chest wall. Most adult patients with pectus excavatum have no functional complaints. Silicone implants offer a minimally invasive solution to correct the chest wall deficit in adolescents beyond their growth spurt and adults with significant deformity. We present the cases of 3 male patients with pectus excavatum chest wall deformity without physiologic compromise. Their wish was to correct the deformity in a less invasive manner
compared to other surgical techniques but with stable results.
A personalized custom made implant was manufactured based on three-dimensional reconstructions derived from a computed tomography scan. Unlike with classic methods, the implant was designed to fill the defect resulting from the deformity of the bony structures. This is superior to the previous
implants created from molds based on the appearance of the anterior chest wall deformity on the skin, since the implant fits more accurately in the thoracic deficit. The subpectoral placement of the implant is a relatively minor surgical procedure under general anesthesia with short hospital stay and minimal morbidity. Except for two cases with small seroma formation, no complications
occurred and patient satisfaction was very high.