Treatment of children with a rare form of congenital chest deformity

Abstract

Purpose: to demonstrate cases of effective treatment of a rare manubrio-cartilaginous chest deformity in children. Methods: surgery of manubrio-cartilaginous type of sparrowy chest was performed in three 13–14-yearold adolescents accounting to 2.2% of all patients with SC. An original method of wedge resection at the site of sternum deformity (at the border of the handle and the body), video-assisted longitudinal incomplete sternotomy and elevation of the sternal body using Nuss-procedure that corrects the funnel deformation of the chest was utilized to treat the rare type of deformity. The metal structure that ensured a stable ratio of the sternocostal complex in the corrected position was removed in 1 year. Results: no functional disturbances of the chest were available during SC. The surgery was performed following cosmetic indications. Two adolescents completed their treatment 4 years ago. The chest shape was almost correct. The third patient is receiving treatment with the installed metal construction. In all three cases adolescents and their parents were satisfied with the surgery outcomes and esthetic condition of the anterior chest part. Thus, using the above described therapeutic tactics in this type of chest deformity produced a good cosmetic result.

Keywords

children / chest / sparrowy chest

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RIGHTS & PERMISSIONS

Stalmakhovich V.N., Dmitrienko A.P., Telezhkin A.L., Perlovskaya V.V.