Treatment of children with a rare form of congenital chest deformity

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Abstract

Purpose: to demonstrate cases of effective treatment of a rare manubrio-cartilaginous chest deformity in children. Methods: surgery of manubrio-cartilaginous type of sparrowy chest was performed in three 13–14-yearold adolescents accounting to 2.2% of all patients with SC. An original method of wedge resection at the site of sternum deformity (at the border of the handle and the body), video-assisted longitudinal incomplete sternotomy and elevation of the sternal body using Nuss-procedure that corrects the funnel deformation of the chest was utilized to treat the rare type of deformity. The metal structure that ensured a stable ratio of the sternocostal complex in the corrected position was removed in 1 year. Results: no functional disturbances of the chest were available during SC. The surgery was performed following cosmetic indications. Two adolescents completed their treatment 4 years ago. The chest shape was almost correct. The third patient is receiving treatment with the installed metal construction. In all three cases adolescents and their parents were satisfied with the surgery outcomes and esthetic condition of the anterior chest part. Thus, using the above described therapeutic tactics in this type of chest deformity produced a good cosmetic result.

About the authors

V. N. Stalmakhovich

Irkutsk State Medical Academy of Post-Graduate Education, branch of the Federal State Budgetary Educational Institution of Continuing Professional Education ‘Russian Medical Academy of Continuing Professional Education’ of the Ministry of Health of the Russian Federation

Author for correspondence.
Email: stal.irk@mail.ru
ORCID iD: 0000-0002-4885-123X

Viktor N. STALMAKHOVICH - Dr. Sci.(Med.), Professor, head of the Department of Pediatric Surgery, IGMAPO

eLirary SPIN: 9042–5092

Gagarin Boulevard, 4., Irkutsk, 664033
phone: +7(902)176–17–82

Россия

A. P. Dmitrienko

Irkutsk State Medical Academy of Post-Graduate Education, branch of the Federal State Budgetary Educational Institution of Continuing Professional Education ‘Russian Medical Academy of Continuing Professional Education’ of the Ministry of Health of the Russian Federation; Irkutsk State Regional Children’s Clinical hospital

Email: fake@neicon.ru
ORCID iD: 0000-0002-0003-8792

Anastasia P. DMITRIENKO - Cand. Sci.(Med.), head Department of endoscopy, Irkutsk State Regional Children’s Clinical Hospital

eLirary SPIN: 3415–9266

Gagarin Boulevard, 4, Irkutsk, 664033

Россия

A. L. Telezhkin

Irkutsk State Regional Children’s Clinical hospital

Email: fake@neicon.ru
ORCID iD: 0000-0002-2912-5320

Alexander L. TELEZHKIN - Pediatric surgeon, Department of Surgery

Gagarin Boulevard, 4, Irkutsk, 664033

Россия

V. V. Perlovskaya

Irkutsk State Regional Children’s Clinical hospital

Email: fake@neicon.ru
ORCID iD: 0000-0001-7625-9340

Valentina V. PERLOVSKAYA - Cand. Sci.(Med.), pediatric surgeon of the Department of surgery

eLirary SPIN: 5040–8373

Gagarin Boulevard, 4, Irkutsk, 664033

Россия

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Copyright (c) 2019 Stalmakhovich V.N., Dmitrienko A.P., Telezhkin A.L., Perlovskaya V.V.

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