Email this article 
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
-
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
- URL: https://rps-journal.ru/jour/article/view/590
- DOI: https://doi.org/10.30946/2219-4061-2019-9-3-96-101
- ID: 590
Cite item
Full Text
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.
Keywords
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
Russian FederationA. 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
Russian FederationV. 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
Russian FederationReferences
- Ашкрафт, К.Ч., Холдер М. Детская хирургия. СПб., 1996; 168–184 с.
- Комолкин И. А., Агранович О. Е. Обзор литературы. Журнал клинической и экспериментальной ортопедии им. Г. А. Илизарова. 2017;23(2): 241–247 doi: 10.18019/1028–14427–2017–23–2–241–247
- Разумовский А. Ю., Алхасов А. Б., Рачков В. Е., Митупов З. Б., Савчук О. М. Торакопластика при килевидной деформации грудной клетки у детей. Хирургия. Журнал им. Н. И. Пирогова. 2011;(4):1–5
- Кузьмичев В. А., Пыхтеев Д. А., Наливкин А. Е., Машков А..Е., Гацуцын В. В. Лечение деформации грудной клетки в сочетании с эмфиземой легких. Детская хирургия. 2017;21 (6): 328–332 doi: 10.18821/1580–9510–2017–21–6–328–332
- Юлчиев К. С., Джумабаев Ж. У., Мирзакаримов Б. Х., Туйчиев Г. У., Юлдашев М. А. Результаты корригирующей торакопластики при килевидной деформации грудной клетки у детей. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2014; 4(3):67–69
- Katrancioglu O., Akkas Y., Karadayi S., Sahin E. Is the Abramson technique effective in pectus carinatum repair? Asian journal of surgery. 2018;41(1):73–6. doi: 10.1016/j.asjsur.2016.09.008 https://www.sciencedirect.com/science/article/pii/S1015958416301166?via%3Dihub
- Neves S. C., Pinho A. C., Fonseca J. C., Rodrigues N. F. Henriques-Coelho T., Correia-Pinto J., Vilaça JL Finite element analysis of pectus carinatum surgical correction via a minimally invasive approach. Computer methods in biomechanics and biomedical engineering. 2015; 18(7):711–20. doi: 10.1080/10255842.2013.843675 https://www.researchgate.net/publication/259764970_Finite_element_analysis_of_pectus_carinatum_surgical_correction_via_a_minimally_invasive_approach
- Abramson H., Aragone X., Blanco J. B., Ciano A., Abramson L. Minimally invasive repair of pectus carinatum and how to deal with complications. Journal of visualized surgery. 2016;(2)64. doi: 10.21037/jovs.2016.03.11. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5638459/pdf/jovs-02–2016.03.11.pdf
- Özkaya M., Bilgin M. Minimally invasive repair of pectus carinatum: a retrospective analysis based on a single surgeon’s 10 years of experience. General thoracic and cardiovascular surgery. 2018; 66(11): 653–7. doi: 10.1007/s11748–0180975–1.
- Taha A., Sfeir P., Al-Taki M. Pectus carinatum: a novel method of sternal fixation. Le Journal médical libanais. 2016;64(3):142–5.
- Yuksel M., Lacin T., Ermerak N. O., Sirzai E. Y. Minimally invasive repair of pectus carinatum // The Annals of thoracic surgery. 2018. Vol. 105, № 3. P. 915–23. doi: 10.1016/j.athoracsur.2017.10.003.
- Akkas Y., Kocer B., Peri N. G. A new technique for mixed-type pectus carinatum: modified Onen method. Asian cardiovascular and thoracic annals. 2016; 24(2): 227–30. doi: 10.1177/0218492315627943
- Del Frari B., Sigl S., Schwabegger A. H. Complications related to pectus carinatum correction: lessons learned from 15 years’ experience. Management and literature review. Plastic and reconstructive surgery. 2016;138(2): 317e-29e. doi: 10.1097/PRS.0000000000002414
- Knudsen M. V., Pilegaard H. K., Grosen K. Pain and sensory disturbances following surgical repair of pectus carinatum. Journal of pediatric surgery. 2018; 53(4):733–9. doi: 10.1016/j.jpedsurg.2017.08.015
- Азизов М. Ж., Ходжанов И. Ю., Касымов Х. А., Хакимов Ш. К., Шоматов Х. Ш., Байимбетов Г. Д. Метод фиксации грудино-реберного комплекса при хирургической коррекции килевидной деформации грудной клетки. Практическая медицина. Инновационные технологии в медицине. 2016; 1(4):20–24
Supplementary files
