Fig. 1

A 17-year-old male presented with dysphagia and reflux. (A) Pectus excavatum caused psychosocial distress. (B) A Haller index of 3.0 was noted (measurements included). (C) Segments of costochondral cartilage 3 through 7 and the xiphoid process were removed to free the sternum from the ribcage. (D) After transverse osteotomy below the sternomanubrial joint, titanium plates and sternal wires were used to reposition the sternum anteriorly and fix the sternal edges. (E) The final result is shown