Chest Wall Deformities
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Abstract:
Chest wall deformities are principally depression deformities, the most common being pectus excavatum (funnel chest). The most common protrusion deformity is pectus carinatum (pigeon breast). Pectus carinatum is a cosmetic problem, but its presence can be psychologically devastating to the patient. Pectus excavatum is definitely a physiologic problem, the effects of which may be reversible by surgical correction. Surgery is safe, complications are minimal, and results are usually satisfactory.Keywords:
Pectus carinatum
Funnel Chest
Sternum
Thoracic wall
Depression
Sternum
Pectus carinatum
Costal cartilage
Median sternotomy
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Chest wall deformities are principally depression deformities, the most common being pectus excavatum (funnel chest). The most common protrusion deformity is pectus carinatum (pigeon breast). Pectus carinatum is a cosmetic problem, but its presence can be psychologically devastating to the patient. Pectus excavatum is definitely a physiologic problem, the effects of which may be reversible by surgical correction. Surgery is safe, complications are minimal, and results are usually satisfactory.
Pectus carinatum
Funnel Chest
Sternum
Depression
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Sternum
Funnel Chest
Position (finance)
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Anterior chest wall deformities in children are the expression of some congenital malformation such as Poland's syndrome and pectus excavatum. The surgical treatment of these malformations affecting children is aimed at correcting large wall defects and stabilizing the chest wall, assuring at the same time chest harmonious growth and postoperative functional assessment. We present the results of the treatment of 2 cases of Poland's syndrome, 20 cases of pectus excavatum and 2 cases of pectus carinatum, with a follow-up of 6 months--9 years.
Pectus carinatum
Thoracic wall
Funnel Chest
Congenital malformations
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Pectus excavatum, or funnel chest, is a deformity characterized by depression of the lower sternum and adjacent costal cartilages. The lowest point is at the junction of the xiphoid process and the body of the sternum. It is commonly detected in early infancy, when it is noted that there is paradoxical retraction of the area on inspiration. During the next year or two, the costal cartilages and sternum become fixed, so that the depression is present regardless of the phase of respiration. The early problems are cosmetic and psychological (with effects on both the patient and his parents), but later there is almost inevitably some functional impairment. We have operated on 25 patients with pectus excavatum and are convinced that surgical treatment is remarkably effective and safe. This communication is presented with the hope that more young patients will receive specific corrective measures before anatomic changes have become relatively irreversible
Sternum
Funnel Chest
Depression
Thorax (insect anatomy)
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The defect known as pectus excavatum, or funnel chest, and pectus carinatum, know as pigeon breast, are congenital anomalies of the anterior chest wall. The excavatum defect is characterized by a deep depression of the sternum, usually involving the lower half or two thirds of the sternum. The lower 4-6 costal or rib cartilages, dip backward abnormally to increase the deformity or depression and push the sternum posterior or backward toward the spine. Also, in many of these deformities, the sternum is asymmetric or it courses to the right or left in this depression. The entire defect also pushes the midline structures so that the lungs are compressed from side to side and the heart is compressed and displaced. The pectus excavatum defect is found in somewhere between 1 in every 500-1000 children. It does occur in families and thus, is inherited in many instances. In approximately 1/5 of the patients, scoliosis is present. The defect is seen shortly after birth and then progresses to its maximum after the growth period in adolescence. The symptomatology of this defect many times is not really apparent until the child participates in athletic or high stress activities. In this article we discuss the most recent surgical options for the treatment of thoracic excavatum and carinatum deformities.
Pectus carinatum
Sternum
Funnel Chest
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Chest wall deformities are principally depression deformities, the most common being pectus excavatum (funnel chest). The most common protrusion deformity is pectus carinatum (pigeon breast). Pectus carinatum is a cosmetic problem, but its presence can be psychologically devastating to the patient. Pectus excavatum is definitely a physiologic problem, the effects of which may be reversible by surgical correction. Surgery is safe, complications are minimal, and results are usually satisfactory.
Pectus carinatum
Funnel Chest
Sternum
Thoracic wall
Depression
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Wenlin chest is a rare complex deformity. It may be misdiagnosed as pectus carinatum or pectus excavatum due to the presence of both protrusion and depression. In the early years, it was just regarded as a kind of pectus carinatum. Considering the operation of this deformity was Ravich procedure, which was also normally used for pectus carinatum, the diagnosis did not affect the treatment. However, once misdiagnosed as pectus excavatum and treated with Nuss procedure, it would be difficult to obtain good results. We met a 22-year-old female Wenlin chest patient recently. She was misdiagnosed as pectus excavatum and underwent Nuss procedure in local hospital 3 years before. Because of no effect, the patient had to come to our hospital for another operation. We performed Wenlin procedure and Wang procedure for her and achieved satisfactory results.
Pectus carinatum
Nuss Procedure
Funnel Chest
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Abstract: Pectus excavatum (PE) is also known as funnel or sunken chest. PE is the most common type of chest wall malformation, indeed occurs in about 1 of 300–1000 births with a male predominance (M:F =5:1). It is featured of a depression of the body of the sternum and in association abnormalities of the costal cartilages. The aspect of the defect variant from mild to very severe. PE is frequently asymptomatic during childhood, but symptoms like easy tiredness and decreased hardiness often appear when patients become teenager or are involved in competitive sports. Surgical correction for PE has become rifer thanks to development of the mini-invasive repair (MIRPE), described for the first time by Nuss in 1989. MIRPE consists in a thoracoscopic fixing of at least one metal bar, which is maintained in the chest at least 2 years.
Funnel Chest
Sternum
Nuss Procedure
Pectus carinatum
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