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Surgical Treatment of the Funnel Chest Deformation at the Children

Received: 24 February 2017     Accepted: 16 March 2017     Published: 25 April 2017
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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.

Published in American Journal of Pediatrics (Volume 3, Issue 2)
DOI 10.11648/j.ajp.20170302.12
Page(s) 8-12
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Funnel Chest Deformation, Thoracoplasty, Children

References
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[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.
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  • APA Style

    Digtiar Valeryi Andreevich, Kamenska Marianna Olegovna. (2017). Surgical Treatment of the Funnel Chest Deformation at the Children. American Journal of Pediatrics, 3(2), 8-12. https://doi.org/10.11648/j.ajp.20170302.12

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    ACS Style

    Digtiar Valeryi Andreevich; Kamenska Marianna Olegovna. Surgical Treatment of the Funnel Chest Deformation at the Children. Am. J. Pediatr. 2017, 3(2), 8-12. doi: 10.11648/j.ajp.20170302.12

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    AMA Style

    Digtiar Valeryi Andreevich, Kamenska Marianna Olegovna. Surgical Treatment of the Funnel Chest Deformation at the Children. Am J Pediatr. 2017;3(2):8-12. doi: 10.11648/j.ajp.20170302.12

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  • @article{10.11648/j.ajp.20170302.12,
      author = {Digtiar Valeryi Andreevich and Kamenska Marianna Olegovna},
      title = {Surgical Treatment of the Funnel Chest Deformation at the Children},
      journal = {American Journal of Pediatrics},
      volume = {3},
      number = {2},
      pages = {8-12},
      doi = {10.11648/j.ajp.20170302.12},
      url = {https://doi.org/10.11648/j.ajp.20170302.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20170302.12},
      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.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Surgical Treatment of the Funnel Chest Deformation at the Children
    AU  - Digtiar Valeryi Andreevich
    AU  - Kamenska Marianna Olegovna
    Y1  - 2017/04/25
    PY  - 2017
    N1  - https://doi.org/10.11648/j.ajp.20170302.12
    DO  - 10.11648/j.ajp.20170302.12
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 8
    EP  - 12
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20170302.12
    AB  - 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.
    VL  - 3
    IS  - 2
    ER  - 

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Author Information
  • Dnipropetrovsk Medical Academy Ministry of Public Health of Ukraine, Dnipro, Ukraine

  • Dnipropetrovsk Medical Academy Ministry of Public Health of Ukraine, Dnipro, Ukraine

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