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Chest Wall Deformities

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Three-dimensional printing flexible models: a novel technique for Nuss procedure planning of pectus excavatum repair.

Lei Wang, Ting Guo, Hao Zhang, Sanhu Yang, Jiahe Liang, Yitong Guo, Qiuya Shao, Tiesheng Cao, Xiaofei Li, Lijun Huang,

Background:Pectus excavatum (PE), one of the most common congenital chest wall deformities, is characterized by posterior depression of the sternum and lower costal cartilages. In this study, we demonstrated the application of flexible three-dimensional printing thoracic models for surgical approach planning of extrapleural Nuss procedure for patients with pectus excavatum. ... Read more >>

Ann Transl Med (Annals of translational medicine)
[2020, 8(4):110]

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Can Breast Asymmetry Following the Treatment of Juvenile Idiopathic Scoliosis with Growing Rod Be Prevented? : A Preliminary Analysis.

Yunus Atici, Barış Polat, Sinan Erdogan, Tahsin Gürpınar, Serdar Demiröz,

OBJECTIVE:It can be assumed that the progression of scoliosis in the juvenile period will increase the asymmetry in the rib cage, and thus will contribute to an increase in the breast asymmetry (BA) in the future. We are looking for answers to the questions; "How will the breasts look with ... Read more >>

J Korean Neurosurg Soc (Journal of Korean Neurosurgical Society)
[2020, 63(2):228-236]

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Long term outcome of vertical expandable prosthetic titanium rib treatment in children with early onset scoliosis.

Daniel Studer, Carol-Claudius Hasler,

The vertical expandable prosthetic titanium rib (VEPTR) device was originally developed for the treatment of thoracic insufficiency syndrome with the aim of improving respiratory function of affected patients. Although clinically obvious, the changes in pulmonary function of VEPTR-treated patients are difficult to assess when using common lung function tests, and ... Read more >>

Ann Transl Med (Annals of translational medicine)
[2020, 8(2):25]

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Isolated Thoracoschisis with Rib Agenesis and Liver Herniation: A Case Report.

Tyler B Masden, Atenasio Taela, Massada da Rocha, Donald C Moores, Andrei Radulescu,

BACKGROUND Thoracoschisis is a very rare congenital birth defect defined by the herniation of intra-abdominal organs through a defect in the thoracic wall. Though often associated with other birth defects as a part of the "limb-body wall complex" deformities, thoracoschisis has very rarely been reported as an isolated finding. CASE ... Read more >>

Am J Case Rep (The American journal of case reports)
[2019, 20:1915-1919]

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The Use of Sublaminar Wiring in the Sub-Axial Cervical Spine as an Adjuvant to Lateral Mass and Pedicle Screw Fixation in a Patient with Metastatic Carcinoma of the Upper Thoracic Spine.

Calvin C Whaley, Michael Young, Jason M Seibly,

A 60-year-old male presented with kyphotic deformity caused by a non-small cell lung cancer metastasis in the cervical-thoracic junction. His pathology caused spinal cord compression and segmental instability. The patient underwent a posterior decompression to try and improve neurological function as well as posterior lateral mass and pedicle screw fixation crossing ... Read more >>

Cureus (Cureus)
[2020, 12(1):e6671]

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Male Gynecomastia Correction by Superior Dynamic Flap Method: A Consistent and Versatile Technique.

Sreekar Harinatha,

BACKGROUND:Gynecomastia is a common cosmetic issue in India. Many combinations of liposuction and excision of the gland have been advocated. Complete removal of the breast leaves behind a contour deformity and hence a sliver of it needs to be left behind. This study used a consistent and versatile technique for ... Read more >>

World J Plast Surg (World journal of plastic surgery)
[2020, 9(1):33-38]

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Understanding Respiratory Restrictions as a Function of the Scoliotic Spinal Curve in Thoracic Insufficiency Syndrome: A 4D Dynamic MR Imaging Study.

Jayaram K Udupa, Yubing Tong, Anthony Capraro, Joseph M McDonough, Oscar H Mayer, Suzanne Ho, Paul Wileyto, Drew A Torigian, Robert M Campbell,

BACKGROUND:Over the past 100 years, many procedures have been developed for correcting restrictive thoracic deformities which cause thoracic insufficiency syndrome. However, none of them have been assessed by a robust metric incorporating thoracic dynamics. In this paper, we investigate the relationship between radiographic spinal curve and lung volumes derived from ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2020, 40(4):183-189]

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A Comparative Study on Short-Term Effects of Compression Orthosis and Exercises in the Treatment of Pectus Carinatum: A Randomized Controlled Pilot Feasibility Trial.

Esra Giray, Nezih Onur Ermerak, Yeliz Bahar-Ozdemir, Melihat Kalkandelen, Mustafa Yuksel, Osman Hakan Gunduz, Gulseren Akyuz,

INTRODUCTION: Pectus carinatum (PC) is a congenital chest wall deformity which is characterized by the protrusion of the sternum and costal cartilages. Although orthotic and exercise therapies are commonly offered by physicians for PC treatment, there is a lack of evidence on the benefits of exercises and how long the orthosis ... Read more >>

Eur J Pediatr Surg (European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie)
[2020, :]

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Sternochondral replacement: use of cadaveric allograft for the reconstruction of anterior chest wall.

Giuseppe Marulli, Giulia De Iaco, Pia Ferrigno, Angela De Palma, Rosatea Quercia, Debora Brascia, Marco Schiavon, Marco Mammana, Federico Rea,

Background:Sternum may be involved by different diseases such as trauma, infection after cardiac surgery, tumors (primary and secondary) or chest wall deformities. Surgical excision with a safety margin is the primary goal after sternal resection for tumors, prevention of respiratory impairment due to flail chest and deformity and protection of ... Read more >>

J Thorac Dis (Journal of Thoracic Disease)
[2020, 12(1):3-9]

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Successful use of an enhanced recovery after surgery (ERAS) pathway to improve outcomes following the Nuss procedure for pectus excavatum.

Kristin Wharton, Young Chun, Joann Hunsberger, Eric Jelin, Alejandro Garcia, Dylan Stewart,

PURPOSE:Pectus excavatum is a common chest wall deformity amenable to surgical correction, most commonly by a technique known as the Nuss Procedure. The surgery is associated with significant postoperative pain and lengthy hospital stays. We hypothesized that a standardized enhanced recovery after surgery (ERAS) pathway would result in significantly reduced ... Read more >>

J. Pediatr. Surg. (Journal of pediatric surgery)
[2020, :]

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Meta-Analysis on Comparison of Therapeutic Effects of Different Treatment Methods on Multiple Rib Fractures

Hao Zhang, Ting Feng, Jie Pei,

<title>Abstract</title> <p> Objective The treatment of multiple rib fractures is worthy of consideration. A Meta-analysis on the surgical and conservative treatment of multiple rib fractures was carried out in this paper to explore the curative effect of these methods and provide some medical evidence. Methods Articles about randomized ... Read more >>

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Anterior chest wall resection and sternal body wedge for primary chest wall tumour: reconstruction technique with biological meshes and titanium plates.

Alberto Sandri, Giovanni Donati, Carlo Droz Blanc, Victor Auguste Nigra, Matteo Gagliasso, Roberto Barmasse,

Chest wall tumours are heterogeneous neoplasms, either primary or metastatic, with a malignancy rate of 50%. Surgical resection is one of the mainstays of the treatment, however, chest wall resections can be particularly challenging depending onto the resection size, site and patient habitus. The surgical strategy should be carefully analysed ... Read more >>

J Thorac Dis (Journal of Thoracic Disease)
[2020, 12(1):17-21]

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Oncoplastic breast-conserving surgery using chest wall perforator flaps: Three-dimensional quantitative analysis of the percentage of breast volume excised and changes over time in flap volume.

Hiroshi Fujimoto, Nobumitsu Shiina, Takeshi Nagashima, Takafumi Sangai, Junta Sakakibara, Mamoru Takada, Ryotaro Teranaka, Haduki Takishima, Yohei Kawasaki, Masayuki Ohtsuka,

BACKGROUND AND OBJECTIVES:We investigated the effects of oncoplastic breast-conserving surgery (BCS) using chest wall perforator flaps (CWPFs) on the subsequent expected deformity and evaluated the longevity of flap volume. METHODS:We retrospectively reviewed oncological and cosmetic outcomes of 33 women who had undergone the above procedure. We calculated the percentage of ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2019, :]

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Referral indications and prevalence of sleep abnormalities in children with early onset scoliosis.

E W MacKintosh, M Ho, K K White, W Krengel, V Bompadre, M L Chen, G J Redding,

This study describes the utility of overnight sleep studies in children with early onset scoliosis (EOS). Children with EOS have diminished respiratory reserve which is associated with abnormal breathing and sleep quality in children. Currently, there are no criteria for referral of these children to evaluate breathing during sleep or ... Read more >>

Spine Deform (Spine deformity)
[2020, :]

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Prevalence of pectus excavatum (PE), pectus carinatum (PC), tracheal hypoplasia, thoracic spine deformities and lateral heart displacement in thoracic radiographs of screw-tailed brachycephalic dogs.

Renata Komsta, Zbigniew Osiński, Piotr Dębiak, Piotr Twardowski, Barbara Lisiak,

Pectus excavatum, thoracic spine deformities, tracheal hypoplasia and lateral heart displacement are frequently described in brachycephalic dog breeds. Pectus carinatum is described sporadically, although the authors' observations demonstrate that it may occur in certain brachycephalic dog breeds. It was hypothesised that dogs of screw-tailed brachycephalic breeds carry a greater risk ... Read more >>

PLoS ONE (PloS one)
[2019, 14(10):e0223642]

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Mark M. Ravitch: A Staple in Surgical History and Innovation.

Marnie Abeshouse, Scott Goldstein, Benjamin Phillips,

Mark M. Ravitch is a surgeon worth acknowledging. He is credited for revolutionizing pediatric surgery as a subspecialty, mastering chest wall deformities and introducing the surgical stapler to the United States, to name a few. Above all, he was a notable leader, teacher, and author. This historical vingette is a ... Read more >>

Am Surg (The American surgeon)
[2020, 86(2):79-82]

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Wound complication after modified Ravitch for pectus excavatum: A case of conservative treatment enhanced by pectoralis muscle transposition.

Beatrice Aramini, Uliano Morandi, Giorgio De Santis, Lucio Brugioni, Alessandro Stefani, Ciro Ruggiero, Alessio Baccarani,

INTRODUCTION:Multiple surgical debridement sessions are mandatory before wound closure in cases of infection after a modified Ravitch procedure for pectus excavatum. Vacuum-assisted closure (VAC) is a well-established technical resource for treating complicated wounds; however, in cases of suspicion of bone infection, this approach is not enough to prevent bar removal. ... Read more >>

Int J Surg Case Rep (International journal of surgery case reports)
[2020, 66:322-325]

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Successful cardiopulmonary resuscitation following minimally invasive pectus excavatum repair: A case report.

Kyle J Glithero, John J Tackett, Kenneth DeMason, Cathy A Burnweit,

INTRODUCTION:Pectus excavatum is the most common congenital chest wall deformity. The minimally invasive repair of pectus excavatum (MIRPE) is the most commonly practiced method of surgical treatment and there is concern that the pectus bar will prevent effective CPR. There are no recorded cases of successful cardiopulmonary resuscitation with pectus ... Read more >>

Int J Surg Case Rep (International journal of surgery case reports)
[2019, 65:255-258]

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Modified C7 pedicle subtraction osteotomy for the correction of cervicothoracic kyphosis.

Yichen Meng, Jun Ma, Lun Shu, Jia Yin, Rui Gao, Ce Wang, Xuhui Zhou,

BACKGROUND:Osteotomies in the cervical spine are technically challenging. The purpose of this study was to evaluate the feasibility of the modified pedicle subtraction osteotomy (PSO) technique at C7 to be used for the treatment of cervicothoracic kyphosis secondary to ankylosing spondylitis. METHODS:A total of 120 cervical spine computed tomography (CT) ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2020, 21(1):28]

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Surgical Correction of Pectus Excavatum Using a Rib Graft Strut Following Excision of Costal Cartilages.

Veereshwar Bhatnagar, Nitin Sharma, Anjan Dhua, Manisha Jana,

Background:A number of techniques are described for correction of pectus excavatum (PE). This article describes the experience with an innovative procedure which combines features from the Ravitch and Nuss procedures without using prosthetic material. Methods:This cross-sectional study included 12 cases of PE from January 2000 to March 2017 managed by ... Read more >>

J Indian Assoc Pediatr Surg (Journal of Indian Association of Pediatric Surgeons)
[2019, 24(4):252-256]

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Osteogenesis imperfecta and pregnancy: a case report.

Felix Chamunyonga, Kudzaishe Lloyd Masendeke, Bismark Mateveke,

BACKGROUND:Osteogenesis imperfecta is a rare connective tissue disorder of varying phenotypic presentations. In pregnancies complicated by osteogenesis imperfecta, there is an increased risk to both the mother and fetus. CASE PRESENTATION:We present a case of a 34-year-old, wheelchair-bound, primigravid African (Zimbabwean) patient with short stature and skeletal deformities. Her care, ... Read more >>

J Med Case Rep (Journal of medical case reports)
[2019, 13(1):363]

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Considerations for patient selection: Prepectoral versus subpectoral implant-based breast reconstruction.

Jun Young Yang, Chan Woo Kim, Jang Won Lee, Seung Ki Kim, Seung Ah Lee, Euna Hwang,

BACKGROUND:In recent years, breast implants have been frequently placed in the subcutaneous pocket, in the so-called prepectoral approach. We report our technique of prepectoral implant-based breast reconstruction (IBR), as well as its surgical and aesthetic outcomes, in comparison with subpectoral IBR. We also discuss relevant considerations and pitfalls in prepectoral ... Read more >>

Arch Plast Surg (Archives of plastic surgery)
[2019, 46(6):550-557]

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A Retrospective Case-Control Study on the Chest Wall and Lung Characteristics in Patients with Primary Spontaneous Pneumothorax.

Haibo Huang, Xiaonu Peng, Hongwei Zhang, Wenjun Li, Chaoyang Wang,

BACKGROUND Primary spontaneous pneumothorax (PSP) is reported to be more common in young men who are thin and tall. This retrospective study aimed to analyze the clinical and chest wall characteristics associated with PSP. MATERIAL AND METHODS Between January 2008 to December 2017, the clinical and imaging data of 99 ... Read more >>

Med. Sci. Monit. (Medical science monitor : international medical journal of experimental and clinical research)
[2019, 25:8482-8491]

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Pioneering Experience of Uniportal Video-Assisted Thoracoscopic Surgery for Anterior Release of Severe Thoracic Scoliosis.

Cheng-Min Hsu, Kuan-Wen Wu, Mong-Wei Lin, Ken N Kuo, Jia-Feng Chang, Ting-Ming Wang,

The optimal way to treat severe thoracic scoliosis remains controversial. Compared with conventional procedures, the uniportal video-assisted thoracoscopic surgery (UniVATS) rises in popularity in thoracic surgery because of less pain and faster recovery. This retrospective study aimed to apply UniVATS to treat severe thoracic scoliosis. Between October 2013 and March ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):841]

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Two case reports: Early detection of amniotic band syndrome by adhesion between hand and umbilical cord at 11 to 14 weeks' gestation.

Zihan Niu, Hua Meng, Xiaoyan Zhang, Yunshu Ouyang, Yixiu Zhang, Xining Wu,

RATIONALE:The significant ultrasonic characteristics of amniotic band syndrome (ABS) are the malformations of fetal affected parts and the band-like echoes in amniotic cavity. This article first suggests that the fetal hand adhered to umbilical cord with restricted movement provides some values in the diagnosis of ABS in early gestational weeks ... Read more >>

Medicine (Baltimore) (Medicine)
[2019, 98(50):e18302]

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