Abstract
BACKGROUND: Indications for the surgical correction of pectus excavatum include functional/physiological, cosmetic, and psychosocial reasons. The most popular open technique for pectus excavatum repair was proposed by Ravitch in 1949 as an open approach that requires partial resection of the costal cartilage, xiphoid excision, and osteotomy of the sternum. The goal is to remove abnormal rib cartilage while preserving the perichondrium, allowing regrowth of the rib cartilage to the sternum in a more anatomic manner. OPERATIVE TECHNIQUE: We present a case of bilateral pectoralis muscle flap transposition during a modified Ravitch procedure is presented herein. CONCLUSION: This approach allows for a significant reduction in late complications and improves both functional and aesthetic outcomes.