Reconstructive surgery of chest malformations in children

Abstract

Introduction. Chest deformities occur approximately in 1-2% of the population. During the growth of the organism chest deformities aggravate, press and deviate the heart and lungs, causing disorders of the respiratory and cardiovascular systems. Thoracoplasty is a pathogenetic surgery. Purpose. Improvment of the quality of life of children with chest deformities, by the application of advanced technologies in surgical treatment. Material and methods. In the Clinic of Pediatric Vertebrology, Orthopedics and Traumatology during the years 2012-2015, 21 children aged between 5 and 14 years old with congenital chest malformations were operated: 12 (57.1%) children with excavated chest, 9 (42 9%) patients with chest deformity caused by scoliosis with „thoracic hypoplasia syndrome” -14 boys (66.7%) and 7 girls (33.3%). Results. Good results (no complaints, functional disorders of the lungs and heart are not obvious, chest deformation was removed) - were observed in 19 (90.5%) patients. Satisfactory results (a slight deepening in the anterior wall remains, there are no complaints) - 2 (9.5%) patients. Conclusions. 1.Conservative treatment or delayed surgical treatment led to irreversible disorders and complications of the functions of internal organs. 2.Surgical correction of severe chest deformities is the only method that allows to prevent the progression of internal organs dysfunctions. 3.Mini invasive Nuss procedure is the most beneficial method of correction of deepening chest deformities.