DEVELOPMENTAL DEFECTS OF CHEST - APPLICATION OF SURGERY BY NUSS IN TREATMENT OF THE FUNNEL CHEST TREATMENT
Journal Title: Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion-IRONS - Year 2014, Vol 7, Issue 7
Abstract
Introduction. Deformations of the chest wall are a serious problem in congenital defects and regards even up to 0.1% of the total population. Most of them are the funnel chest and the chicken chest. Aim. The purpose of this paper is to present methods for treating pathologies of the chest. There is no evidence that conservative treatment or even intensive rehabilitation (physical exercise, fitness, swimming exercises) were able to inhibit the growth, or result in a reduction of the chest deformities. Method. The first method of the chest deformities treatment created and routinely per-formed by Mark Ravitch, was a treatment consisting in making the vertical cut over the sternum and bilateral cut out of parasternal fragments of 3-5 pairs of rib cartilages, breaking the sternum and its re-anastomosis with reduced previously cartilages in the desired position. Then in 1997 an American pediatric surgeon Donald Nuss presented his experiences using a minimally invasive surgical method for the treatment of chest. Nuss surgery method involves carrying out the endotracheal tube under bridge, using a specially designed track from left to right side of the chest with two symmetrical small skin incisions in the axillary median line. Results and conclusions. The efficacy of surgical treatment is conditioned by the proper rehabilitation in the early postoperative period. Complications in the vast majority are transient, reversible and harmless to life, they occur in the early postoperative period.
Authors and Affiliations
Wojciech Dyszkiewicz, Aleksander Barinow-Wojewódzki, Krystian Pawlak
Keywords
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