Surgical Treatment of the Funnel Chest Deformation at the Children
American Journal of Pediatrics
Volume 3, Issue 2, March 2017, Pages: 8-12
Received: Feb. 24, 2017; Accepted: Mar. 16, 2017; Published: Apr. 25, 2017
Views 2049      Downloads 74
Authors
Digtiar Valeryi Andreevich, Dnipropetrovsk Medical Academy Ministry of Public Health of Ukraine, Dnipro, Ukraine
Kamenska Marianna Olegovna, Dnipropetrovsk Medical Academy Ministry of Public Health of Ukraine, Dnipro, Ukraine
Article Tools
Follow on us
Abstract
Introduction: Funnel chest deformation (FCHD) is the most common malformation of the chest. This anomaly appears as the cosmetic and functional disorders of the cardiovascular and respiratory systems. Its main characteristic feature is tendency to progression, closely linked with the growth and age of children. Purpose: To analyze results of surgical treatment at the children with FCHD, using minimally invasive method of thoracoplasty. Materials and methods: The research group included 21 children with FCHD at the age from 4 to 17 years. Symmetrical shape of deformation was revealed in 14 patients (66.6%), the asymmetric shape was revealed in 5 (23.8%) patients, the FCHD – in 2 children (9.5%). Preoperative examination included: routine clinical laboratory research, spirography, electrocardiography, echocardiography, chest radiography in the frontal and lateral projections and computed tomography. All patients underwent thoracoplasty with using method D. Nuss. Results: The period of supervision covered from 6 months to 4 years after surgery operation. Good results were obtained in 17 (80.96%) cases; satisfactory – in 3 cases (14.28%), unsatisfactory – in 1 case (4.76%). Conclusion: Surgical treatment of FCHD with using innovative in Ukraine method of retrosternal metal fixators – is vital importance direction in thoracoplasty, having numerous advantages, compared with resection techniques, as well as minimally invasive and a good cosmetic effect.
Keywords
Funnel Chest Deformation, Thoracoplasty, Children
To cite this article
Digtiar Valeryi Andreevich, Kamenska Marianna Olegovna, Surgical Treatment of the Funnel Chest Deformation at the Children, American Journal of Pediatrics. Vol. 3, No. 2, 2017, pp. 8-12. doi: 10.11648/j.ajp.20170302.12
Copyright
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Huba AD. Surgical treatment of the funnel chest deformation in the children and adolescents: Abstract of dissertation for PhD degree, Kurgan, 2007; 18.
[2]
Krivchenia D.Yu. et al. Variants of modifications the Nuss operation in a correction of the funnel chest deformation: advantages and disadvantages, Surgery of children's age, 2011, 1: 27-30.
[3]
Malakhov OA, Zherdev KV, Chelpachenko OB. Orthopedic aspects and features of surgical treatment of the funnel chest deformation in the children and adolescents, Bulletin of traumatology and orthopedics, named by N. N. Priorova, 2011, 3: 3-9.
[4]
Plyakin VA, Kulik IO, Sarukhanyan OO. Comparative assessment of the operations by Nass and Ravich for treatment of the funnel chest deformation, Pediatric surgery, 2013, 3: 60-64.
[5]
D. Nuss, R. E. Kelly Jr., D. P. Croitoru, M. E. Katz. A 10-year review of a minimally invasive technique for the correction of pectus excavatum, J. Pediatr. Surg., 1998, Vol. 33 (4): 545-552.
[6]
S. Hosie, T. Sitkiewecz, C. Petersen et al. Minimally invasive repair of pectus excavatumthe Nuss procedure. A European multicentre experience, Eur. J. Pediatr. Surg., 2002, Vol. 12 (4): 235–238.
[7]
Petersen C. Funnel chest. New aspects since introduction of a minimally invasive surgical technique, Orthopade. 2003 Oct; 32(10):916-9.
[8]
Barauskas V. Indications for the surgical treatment of the funnel chest, Medicina (Kaunas). 2003; 39(6):555-61.
[9]
Kelly RE Jr. Pectus excavatum: historical background, clinical picture, preoperative evaluation and criteria for operation, Semin Pediatr Surg. 2008 Aug; 17(3):181-93.
[10]
Kowalewski J, Barcikowski S, Zołyński K. Effect of correcting funnel chest on respiratory function, Pneumonol Alergol Pol. 1993; 61(1-2):35-9.
[11]
Neviere R, Montaigne D, Benhamed L, Catto M, Edme JL, Matran R, Wurtz A. Cardiopulmonary response following surgical repair of pectus excavatum in adult patients. Eur J Cardiothorac Surg. 2011 Aug; 40(2): 77-82.
[12]
Hecker WC, Happ M, Soder C, Remberger K, Nehrlich A. Clinical aspects and problems of pigeon breast and funnel chest, Z Kinderchir. 1988 Feb; 43(1):15-22.
[13]
Nakanishi Y, Nakajima T, Sakakibara A, Nishiyama T. A vascularised rib strut technique for funnel chest correction, Br J Plast Surg. 1992 Jul; 45(5):364-6.
[14]
Ishikawa S, Uchinuma E, Itoh M, Shioya N. A simple sternal turnover procedure using a vascular pedicle for a funnel chest, Ann Plast Surg. 1988 May; 20(5):485-91.
[15]
Zhang XG. Sternal turnover with preservation of internal mammary vessels in the treatment of pectus excavatum, Zhonghua Wai Ke Za Zhi. 1989 May; 27(5):282-3, 317.
[16]
Kilda A, Lukosevicius S, Barauskas V, Jankauskaite Z, Basevicius A. Radiological changes after Nuss operation for pectus excavatum, Medicina (Kaunas). 2009; 45(9):699-705.
[17]
Wu TH, Huang TW, Hsu HH, Lee SC, Tzao C, Chang H, Cheng YL. Usefulness of chest images for the assessment of pectus excavatum before and after a Nuss repair in adults, Eur J Cardiothorac Surg. 2013 Feb;43(2):283-7.
[18]
Smits-Engelsman B., Klerks M., Kirby A. Beighton score: a valid measure for generalized hypermobility in children. J. of Pediatrics. 2011; 158 (1): 119-123.
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186