Median thoracic expansion combined with Nuss procedure for asphyxiating thoracic dystrophy

Wang, Wenlin; Long, Weiguang; Liu, Yang; Cai, Bin

doi:10.1016/j.epsc.2022.102342

Cited by 8 publications

(12 citation statements)

References 6 publications

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“…We used steel bar to support the depressions (Fig. 3C) [7,8] . Because it could eliminate the depressions and ensure the good effect of median thoracic expansion simultaneously, we regarded that this was a reasonable method [8] .…”

Section: Discussionmentioning

confidence: 99%

“…3C) [7,8] . Because it could eliminate the depressions and ensure the good effect of median thoracic expansion simultaneously, we regarded that this was a reasonable method [8] . We applied this method to our patients and achieved satisfactory results.…”

Section: Discussionmentioning

confidence: 99%

“…An arc-shaped steel bar was inserted into the thorax and passed through the mediastinum, and then was turned over to prop up the depressions (Fig. 2A), thus an additional Nuss procedure was completed [7,8] . After all the bars were firmly fixed, the incisions were closed, and the total operation was completed (Fig.…”

Section: Case Reportmentioning

confidence: 99%

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Surgical treatment of asphyxiating thoracic dystrophy with median thoracic expansion and Nuss procedure

Wang¹

2022

Int. J. Surg. Sci.

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Asphyxiating thoracic dystropy can be divided into two types: type I is cylindrical with slight depressions on chest wall, and type II is non-cylindrical with serious depressions on the chest wall. The nature of the depressions determines the choice of operation. For type I patients, the relatively reasonable operation is median thoracic expansion. However, due to the existence of depressions, the effect is not ideal. In order to eliminate the effect of depression, we designed a operation with an additional Nuss procedure to median thoracic expansion. We applied this operation to a 3-year-old patient and achieved good results.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Surgical treatment of asphyxiating thoracic dystrophy with median thoracic expansion and Nuss procedure

Wang¹

2022

Int. J. Surg. Sci.

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“…Until now, we have applied Wang technique to almost all types of thoracic deformity surgeries, including not only pectus excavatum [6,7,10] , but also pectus carinatum [9] , barrel chest [11,12] , flat chest [13] , Poland syndrome, asphyxiating thoracic dystrophy (Jeune syndrome) [14][15][16][17][18][19][20] , thoracic insufficiency syndrome and other deformities [21][22][23] . Our experience shows that this method is a simple and practical fixation method.…”

Section: Discussionmentioning

confidence: 99%

Wang technique: A simple and practical steel bar fixation technique in thoracic deformity surgery

Wang¹,

Long²,

Liu³

et al. 2022

Int. J. Surg. Sci.

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Minimally invasive thoracic deformity surgery often requires the use of steel bars. After these bars are placed in the chest wall, they need to be firmly fixed. In the past, most of the fixation techniques needed special fixation plates. Although these methods have certain advantages, their disadvantages are more impressive. We have invented a technique specially used for steel bar fixation. This technique is simple, practical and easy to operate. We used it routinely in all kinds of thoracic deformity operations and achieved satisfactory results. In the past few years, we have carried out thoracic deformity surgeries in more than 300 hospitals in China, and this technique is adopted in all our operation. Because of the obvious advantages, it is unanimously recognized by the peers. It has become a popular technique in chest wall surgery circle. In order to better standardize the naming of this technique, we named it Wang technique. In this paper, the specific contents of this technique are introduced in detail through a case of Wung procedure on pectus excavatum.

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“…Asphyxiating thoracic dystrophy (ATD) is an extremely rare and dangerous autosomal recessive disease [1][2][3][4] . Due to the narrow and small thorax, most patients have serious respiratory dysfunction, and surgery is the only effective means to treat the disease [2][3][4] . However, severe pulmonary hypertension had been considered as a contraindication for surgery [5,6] .…”

Section: Introductionmentioning

confidence: 99%

Wenlin procedure for aphyxiating thoracic dystrophy with severe pulmonary hypertension

Wang¹,

Long²,

Liu³

et al. 2022

Int. J. Case Rep. Surg.

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Median thoracic expansion combined with Nuss procedure for asphyxiating thoracic dystrophy

Cited by 8 publications

References 6 publications

Surgical treatment of asphyxiating thoracic dystrophy with median thoracic expansion and Nuss procedure

Surgical treatment of asphyxiating thoracic dystrophy with median thoracic expansion and Nuss procedure

Wang technique: A simple and practical steel bar fixation technique in thoracic deformity surgery

Wenlin procedure for aphyxiating thoracic dystrophy with severe pulmonary hypertension

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