{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:57:14Z","timestamp":1753887434343,"version":"3.41.2"},"reference-count":17,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,3,1]]},"abstract":"<jats:p>Acquired thoracic dystrophy is a complication associated with early open repair of pectus excavatum resulting from extensive cartilage resection. The condition can cause serious functional and physiologic impairments, including cardiac compression and restrictive pulmonary function. We describe a 17-year-old boy with acquired thoracic dystrophy after Ravitch repair of pectus excavatum during infancy, whom we treated with distraction osteogenesis. The patient had a marked deformity of the chest wall and general hypoplasia of the central portion of the ribcage, with resultant symptomatic dyspnea on exertion and reduced pulmonary function. After osteotomies and distraction osteogenesis of bilateral ribs 4\u20138 using customized distraction devices, he had improved thoracic contour, resolution of dyspnea, and decreased restrictive pulmonary symptoms. This case suggests that distraction osteogenesis, already used extensively in craniomaxillofacial and orthopedic surgery, may be a novel method for management of this condition.<\/jats:p>","DOI":"10.1542\/peds.2015-2053","type":"journal-article","created":{"date-parts":[[2016,2,12]],"date-time":"2016-02-12T02:13:46Z","timestamp":1455243226000},"source":"Crossref","is-referenced-by-count":1,"title":["Distraction Osteogenesis of Multiple Ribs for the Treatment of Acquired Thoracic Dystrophy"],"prefix":"10.1542","volume":"137","author":[{"given":"Merisa L.","family":"Piper","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, San Francisco, San Francisco, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence","family":"Delrosario","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, San Francisco, San Francisco, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William Y.","family":"Hoffman","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, San Francisco, San Francisco, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2016,3,1]]},"reference":[{"issue":"6","key":"2021120919100277300_B1","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2007-2723","article-title":"Surgical repair of pectus excavatum markedly improves body image and perceived ability for physical activity: multicenter study.","volume":"122","author":"Kelly","year":"2008","journal-title":"Pediatrics"},{"issue":"2","key":"2021120919100277300_B2","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.athoracsur.2004.03.011","article-title":"Repair of the pectus deformity: results of the Ravitch approach in 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