In addition to chest X-ray, chest CT is recommended for accurate diagnosis of SPM. However, further invasive investigations, restriction of oral intake and the use of prophylactic antibiotics have minimal role in the diagnosis and treatment of SPM.
This study demonstrated that non-surgical treatment using a compressive brace in patients with pectus carinatum was effective, especially in children and teenagers. Non-surgical treatment using a compressive brace in patients with pectus carinatum would be helpful for those who dislike surgery because of their fear about general anesthesia and operative complications. But, long-term follow-up is necessary to evaluate the effectiveness of this compressive brace and the recurrence of the condition after its removal.
The results of our study indicate that extensive small airway abnormalities may be associated with NFA, and that these abnormalities are partially reversible after the successful control of asthma symptoms.
A 62-year-old male with bilateral renal cell carcinomas underwent bilateral nephrectomies. Following which he continued hemodialysis. He was admitted to our hospital with a small sternal mass present for 10 months. The operation consisted of sternectomy with right 4th costal cartilage resection and sternal reconstruction with Prolene mesh and methylmethacrylate. Postoperative course was uneventful and his respirations were normal without paradoxical movement of the thorax or hypoxemia. He is currently well and being followed up as an out patient.
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