Pectus Excavatum / Pectus Carinatum: tratamento cirúrgico

Coelho, Marlos de Souza; Júnior, Wilson de Souza Stori; Pizarro, Lauro Del Valle; Zanin, Sérgio Augusto; Gonçalves, José Lino; Neto, Nelson Bergonse

doi:10.1590/s0100-69912003000400002

Cited by 13 publications

(32 citation statements)

References 26 publications

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“…(3) In a study of patients submitted to surgery, (4) and in a study involving schoolchildren, (5) this ratio was 1:2, in contrast to what has been established in literature.…”

Section: Introductionmentioning

confidence: 83%

“…The overall prevalence of these two deformities ranges from 0.6 to 0.97/1000 individuals, (1,2) and they are more common in men. In most published studies, PE is clearly predominant over PC, at a ratio ranging from 3:1 to 13:1.…”

Section: Introductionmentioning

confidence: 99%

“…Symptoms frequently result from accompanying diseases or psychological disorders that make these patients introverted and reserved, as well as lowering their self-esteem. (6,7) Parents are typically anxious and report that the problem appeared within the past few weeks due to trauma or weight loss of the child, or adolescent, since adolescence is the period during which this condition is most commonly noticed. (6,8) Limitations at work and in sports, as well as underachievement in school, in the absence of respiratory and heart diseases, should be attributed to emotional alterations.…”

Section: Introductionmentioning

confidence: 99%

“…The most common concomitant associated diseases, responsible for bronchial and pulmonary symptoms, are asthma and chronic bronchitis, which occur in 16.4% of the patients. (7) Kyphosis is present, to a greater or lesser degree, in almost all patients.…”

Section: Introductionmentioning

confidence: 99%

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Pectus carinatum

Coelho

Guimarães

2007

J. bras. pneumol.

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Among the deformities of the thoracic wall, pectus carinatum has not received the same attention as has pectus excavatum. Few pulmonologists, pediatricians, and thoracic surgeons are aware of the approaches to treating this condition. As a consequence, patients with pectus carinatum are not referred for treatment. This deformity, with an incidence of 1:1000 teenagers, is oligosymptomatic. However, for aesthetic and emotional reasons, it accounts for a large number of medical appointments. Such patients are introverted and do not engage in physical activities, since they are unwilling to expose their chest, which also discourages them from going to the beach or to swimming pools. The diagnosis is clinical and visual, and details are obtained through chest X-rays and computed tomography. The treatment is based on a well-known organogram that summarizes orthopedic and surgical procedures. Dynamic compression, combined with physical exercises, is indicated for teenagers with flexible thorax in inferior and lateral pectus carinatum, with limited indication for those with superior pectus carinatum. For individuals of any age with rigid thorax, surgery is indicated for aesthetic reasons. Among the techniques described, the modified sternum chondroplasty stands out due to the excellent aesthetic results achieved.

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“…(3) In a study of patients submitted to surgery, (4) and in a study involving schoolchildren, (5) this ratio was 1:2, in contrast to what has been established in literature.…”

Section: Introductionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%