Evaluation of sternochondroplasty efficacy in treatment of pectus deformities

Bagheri, Reza; Haghi, Seyed Ziaollah; Dalouee, Marziyeh Nouri; Ebrahimi, Kolsoumeh; Rajabnejad, Ata’ollah

doi:10.1177/0218492314551842

Cited by 5 publications

(1 citation statement)

References 12 publications

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“…It's main downside to MIRPE is significantly longer surgery time averaging at 54.2 minutes in MIRPE and 229.5 minutes in SCP. 41,42 Taulinoplasty is a method first described in 2016 and was designed to bypass the need for retrosternal involvement occurring in MIRPE. For this purpose, authors designed a special extrathoracic implantation and traction systems consisting of metal plate fixed with opening in the center and regulated screw with nut attached to the sternum.…”

Section: Newly Developed Proceduresmentioning

confidence: 99%

Pectus Excavatum: A review of current treatment possibilities

Hedesz,

Taras,

Woźniak

et al. 2024

J Educ Health Sport

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Anterior chest wall depression known as Pectus excavatum (PE) , is currently the most common congenital chest wall deformation, with incidence estimated at 1/400 births, five times more frequently in boys than girls (5:1 ratio in occurrence). 1 Etiology of this deformity is formed by several hypothesis, including overgrowth of the ribs, developmental failure of the bony thorax or weakness and abnormal flexibility of the sternum. While theoretical concepts of its origin may differ, the common ground is the characteristics of said deformation: a posterior depression of the sternum and the lower costal cartilages. 2Surgical treatment options were described since 1949 with Ravitch procedure and since then a number of new ones has been developed. For many years Ravitch and Nuss procedures were the main way to treat pectus excavatum, with a growing bias towards latter one. Since the Nuss procedure characterizes with less invasive approach and fever overall complications 3 its popularity outgrew Ravitch procedure and currently is described as MIRPE – Minimally Invasive Pectus Excavatum Repair. 4 However afterward then many new techniques were developed, focusing on reducing overall procedure risks, improving patient safety and quality of life and including new technical possibilities. The aim of this study was to gather and evaluate current literature to highlight new treatment options.

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Section: Newly Developed Proceduresmentioning

confidence: 99%

Pectus Excavatum: A review of current treatment possibilities

Hedesz,

Taras,

Woźniak

et al. 2024

J Educ Health Sport

View full text Add to dashboard Cite

show abstract

Evaluation of the results of surgery treatment in patients with congenital chest deformity

Masoom

Dalouee

Abrahimzadeh

et al. 2017

Indian J Thorac Cardiovasc Surg

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Impact of surgical treatment of pectus carinatum on cardiopulmonary function: a prospective study

Frari

Sigl

Schwabegger

et al. 2020

European Journal of Cardio-Thoracic Surgery

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OBJECTIVES The frequency of sternochondroplasty in cases of pectus carinatum (PC) has increased due to greater surgeon experience and modified surgical techniques. PC deformity does not usually cause cardiopulmonary malfunction or impairment. However, whether cardiopulmonary function changes after surgical repair remains a matter of controversy. The aim of our prospective study was to determine if surgery changes preoperative cardiopulmonary function. METHODS Nineteen patients (16 males, 3 females) were enrolled in a prospective, open-label, single-arm, single-centre clinical trial (Impact of Surgical Treatments of Thoracic Deformation on Cardiopulmonary Function) (NCT02163265) between July 2013 and January 2017. All patients underwent PC repair via a modified Ravitch procedure and wore a lightweight, patient-controlled chest brace for 8 weeks postoperatively (the Innsbruck protocol). The average follow-up surgical examination was 8.3 months after surgery. In all enrolled patients, before surgery and not before 6 months postoperatively chest X-ray, 3-dimensional volume-rendered computed tomography thorax imaging, cardiopulmonary function tests with stepwise cycle spiroergometry (sitting and supine position) and Doppler echocardiography were performed; questionnaires about daily physical activity were also completed. RESULTS Fourteen patients (aged 16.3 ± 2.6 years at study entry) completed the study. Changes in submaximal and peak power output were not detected during sitting, or when in the supine position. Also, no clinically relevant postoperative changes in spirometry or echocardiography were noted. CONCLUSIONS Our findings confirm that surgical correction of PC does not impair cardiopulmonary function at rest or during physical exercise. Clinical registration number clinicaltrials.gov NCT02163265.

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Evaluation of sternochondroplasty efficacy in treatment of pectus deformities

Abstract: Sternochondroplasty is a desirable procedure for repairing pectus deformities. This procedure has minimal complications and the cosmetic and physiologic results are excellent.

Cited by 5 publications

References 12 publications

Pectus Excavatum: A review of current treatment possibilities

Pectus Excavatum: A review of current treatment possibilities

Evaluation of the results of surgery treatment in patients with congenital chest deformity

Impact of surgical treatment of pectus carinatum on cardiopulmonary function: a prospective study

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