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Treatment of children with a rare form of congenital chest deformity
- Authors: Stalmakhovich V.N.1, Dmitrienko A.P.1,2, Telezhkin A.L.2, Perlovskaya V.V.2
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Affiliations:
- 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
- Issue: Vol 9, No 3 (2019)
- Pages: 96-101
- Section: Case reports
- Submitted: 17.02.2020
- Accepted: 17.02.2020
- Published: 17.11.2019
- URL: https://rps-journal.ru/jour/article/view/590
- DOI: https://doi.org/10.30946/2219-4061-2019-9-3-96-101
- ID: 590
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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.
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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
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
РоссияA. 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
РоссияV. 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
РоссияReferences
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