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PURPOSE: The solid customized and prefabricated silicone implants have been used by many surgeons for a long time in chest wall deformities such as Pectus Excavatum, without any impairment of cardiopulmonary function. The implants can be either customized using a moulage technique or prefabricated which can be modified on the operating table to repair the contour deformity. The silicone consistence has a role in the final aesthetic result. A hard implant may become visible by rising or moving the arms, may be easily recognized when touched and also needs large incisions. We present the experience from 1998 to 2017 with a new type of super-soft solid silicone and the aid of videoscopy for dissection in the treatment of Pectus Excavatum.

Abstract: Lateral Stabilizing Cartilaginous Grafts through the Marginal Modified Open Approach: An Alternative to Avoid the Descent of the Nasal Tip