Medical and Health Science Journal
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| Volume | 14 |
| Issue | 1 |
| Online publication date | 2013-04-25 |
| Title | Operative correction of pectus excavatum deformity in children by the elasticity criteria of the sternocostal complex |
| Author | Iskandar Khodjanov, Sherali Khakimov, Khatam Kasymov |
| Abstract | This report presents the results of the operative correction of the pectus excavatum deformity in 54 children aged from 5 to 15 years. In relation to the elasticity degree and age of the patient there was performed of the pectus excavatum deformity by method of D. Nuss in modification with application of a metal plate of the own construction. At normal elasticity (degree 1) of the anterior sternocostal complex in 27 (50.0%) patients is executed operative intervention by method of D. Nuss, with good result in 26 (96.3%) and satisfactory in 1 (3.7%) patient. At moderate degree of elasticity (II-degree) in 15 (27.8%) patients there was performed procedure of D. Nuss in modification of out clinic. The correction of the pectus excavatum deformity was carried out by chondrotomy of the deformed ribs and placement of the metal plate under the sternocostal complex. The good results were noted in 13 (86.7%) patients, satisfactory - in 2 (13.3%). At the hypoplastic sternocostal complex (degree III) the deformation was removed by "Т"-shaped or cross sternotomy with chondroresection of some ribs and then placement of the metal plate of D. Nuss under sternocostal complex. The good results were found in 9 (75%), satisfactory in 1 (8.3%) and unsatisfactory in 2 (16.7%) patients. Thus, the less elasticity of the sternocostal complex and older age of child, there is more traumatic operative intervention and worse long-term results of treatment. |
| Citation | |
| References | Abdrahmanov, A., Tazhin, K., Anashev, T., 2010. “Congenital deformity of the chest and their treatment,” Traumatology and Orthopedics [Travmatologiya I ortopediya], in Russian, No.1, pp.3-7 Fonkalsrud, E., 2003. “Current management of pectus excavatum,” World J. Surg., Vol.27(5), pp.502-508 Haje, S., Harcke, H., Bowen, J., 1999. “Growth disturbance of the sternum and pectus deformities: imaging studies and clinical correlation,” Pediatr. Radiol., Vol.29, No.5, pp.334-41 Hebra, A., Swoveland, B., Egbert, M. et al., 2000. “Outcome analysis of minimally invasive repair of pectus excavatum: Review of 251 cases,” J Pediatr Surg, Vol.35, pp.252-58 Mirzakarimov, B., 2010. “Optimization of the method of diagnosis and correction of the chest in children with pectus excavatum deformity,” [Optimizaciya metodov diagnostiki I korrekcii grudnoy kletki u detey pri eyo voronkoobraznoy deformacii], in Russian, Synopsis of doctoral dissertation, Tashkent Nuss, D., Kelly, R., Croitoru, D. Katz, M., 1998. “A 10 year review of a minimally invasive technique for the correction of pectus excavatum,” J Pediatr Surg, Vol.33(4), pp.545-52 Nuss, D., Croitoru, D., Kelly, R. et al., 2002. “Review and discussion of the complications of minimally invasive pectus excavatum repair,” Eur. J. Pediatr. Surg., Vol.12(4), pp.230-34 Razumovskiy, A., Pavlov, A., 2005. “Methods of surgical treatment of the pectus excavatum deformity,” Pediatric surgery [Detskaya hirurgiya], in Russian, No.3, pp.44-47 Rebeis, E., Samano, M., Dias, C. et al., 2004. “Anthropometric index for quantitative assessment of pectus excavatum,” Jornal Brasileiro de Pneumologia, Vol.30(6), pp.501-507 Rudakov, S., 1988. “Isolated and sindromal defects of pectus growth and their treatment,” [Izolirovannye i sindromalnye defekty razvitiya grudnoy kletki i ih lechenie], in Russian, Synopsis of doctoral dissertation Sadler,T., 2000. “Embryology of the sternum,” Chest Surgery Clinics of North America, Vol.10(2), pp.237-44 Urmonas,V., Kondrashin, N., 1983. The pectus excavatum deformity [Voronkoobraznaya grudnaya kletka], in Russian, Vilnus: Mokslas Vinogradov, A., 1999. “Surgical treatment of rare congenital and acquired deformation of the chest,” [Khirurgicheskoe lechenie redkih vrozhdennyh I priobretennyh deformaciy grudnoy kletki u detey], in Russian, Synopsis of doctoral dissertation, Moscow |
| Keywords | Children, thorax, pectus excavatum deformity, elasticity, thoracoplasty |
| DOI | http://dx.doi.org/10.15208/mhsj.2013.10 |
| Pages | 62-70 |
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