Email this article Combination of different thoracoplasty methods for recurrent pectus excavatum correction. Case report
- Authors: Kolesov S.V.1,2,3, Khaspekov D.V.1,2,3, Snetkov A.A.1,2,3, Sar A.S.1,2,3, Kolesov G.S.1,2,3
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Affiliations:
- Children’s State Hospital of St. Vladimir
- N.N. Priorov Central Institute of Traumatology and Orthopedics
- RUDN University
- Issue: Vol 27, No 1 (2020)
- Pages: 53-56
- Section: Articles
- URL: https://journals.rcsi.science/0869-8678/article/view/25886
- DOI: https://doi.org/10.17816/vto202027153-56
- ID: 25886
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Abstract
A case of surgical treatment of recurrent funnel-shaped chest deformity with the formation of a complex pathological configuration of the anterior chest wall with the III degree of sinking of the sternal-costal complex in a 35-year-old woman is presented. After primary thoracoplasty, the patient underwent mammoplasty with implant placement, which made it difficult to correct the deformity, due to the high risk of damage to both the capsules formed around the implants and the implants themselves. In addition to the sinking of the sternum and adjacent ribs, the patient had a pronounced deformation of the costal arches according to the «pterygoid» type, which also required correction. In order to correct this deformity, we used a combination of two well — known thoracoplasty methods-open resection and mini-invasive by D. NUSS. Thoracoplasty performed in this way allowed to significantly reduce the trauma of the operation, avoid complications, eliminate damage to the implants and, ultimately, get a pronounced cosmetic result that fully meets the patient’s wishes.
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##article.viewOnOriginalSite##About the authors
S. V. Kolesov
Children’s State Hospital of St. Vladimir; N.N. Priorov Central Institute of Traumatology and Orthopedics; RUDN University
Author for correspondence.
Email: haspekov@mail.ru
Russian Federation, Moscow
D. V. Khaspekov
Children’s State Hospital of St. Vladimir; N.N. Priorov Central Institute of Traumatology and Orthopedics; RUDN University
Email: haspekov@mail.ru
Russian Federation, Moscow
A. A. Snetkov
Children’s State Hospital of St. Vladimir; N.N. Priorov Central Institute of Traumatology and Orthopedics; RUDN University
Email: haspekov@mail.ru
Russian Federation, Moscow
A. S. Sar
Children’s State Hospital of St. Vladimir; N.N. Priorov Central Institute of Traumatology and Orthopedics; RUDN University
Email: haspekov@mail.ru
Russian Federation, Moscow
G. S. Kolesov
Children’s State Hospital of St. Vladimir; N.N. Priorov Central Institute of Traumatology and Orthopedics; RUDN University
Email: haspekov@mail.ru
Russian Federation, Moscow
References
- Hebra A, Calder BW, Lesher A. Minimally invasive repair of pectus excavatum. J Vis Surg. 2016;2:73. https://doi.org/10.21037/jovs.2016.03.21
- Вишневский А.А., Рудаков С.С., Миланов Н.О. Хирургия грудной стенки. Руководство. М. 2005.
- Koumbourlis AC. Pectus deformities and their impact on pul- monary physiology. Paediatr Respir Rev. 2015;16:18-24. https://doi.org/10.1016/j.prrv.2014.10.009
- Araújo ME, Penha AP, Westphal FL, et al. Nuss procedure for pectus excavatum repair: critical appraisal of the evidence [Ar- ticle in English, Portuguese]. Rev Col Bras Cir. 2014;41(6):400- 405.
- Kuru P, Cakiroglu A, Er A, et al. Pectus Excavatum and Pectus Carinatum: Associated Conditions, Family History, and Postop- erative Patient Satisfaction. Korean J Thorac Cardi-ovasc Surg. 2016;49(1):29-34.
- Виноградов A.B. Стернохондродистракция — новый метод лечения воронкообразных деформаций грудной клетки у детей. Детская хирургия. 2003;2:21-23.
- Novellis P, Bonora Ottoni D. Thoracoscopic Nuss procedure or open Ravitch technique for pectus excavatum repair in young adult patients: a Hamlet’s indecision. Ann Thorac Surg. 2014; 98(6):2269.
- Sacco Casamassima MG, Gause C, Goldstein SD, et al. Patient Satisfaction After Minimally Invasive Repair of Pectus Excava- tum in Adults: Long-Term Results of Nuss Procedure in Adults. Ann Thorac Surg. 2016;164.
- Нечаева Г.И., Морозов С.Л., Черкащенко Д.В. Воронко- образная деформация грудной клетки: современное со- стояние проблемы. Казанский медицинский журнал. 2007; 88:5:17-21.
- Park HJ, Lee IS, Kim KT. Extreme eccentric canal type ex- cavatum: morphological study and repair techniques. Europ J Cardio-thor Surg. 2008;34:150-154.
- Nuss D, Kelly REJr, Croitoru DP, et al. 10-year review of a minimally invasive technique for the correction of pectus ex- cavatum. J Pediatr Surg. 1998;33:545-552.
- Haller JA, Loughlin GM. Cardiorespiratory function is signifi- cantly improved following corrective surgery for severe pectus excavatum. Proposed treatment guidelines. Surg. 2000;41(1): 125-130.
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