Brustwanddeformitäten bei Kindern und Jugendlichen

2021 ◽  
Author(s):  
Florian Bergmann ◽  
Oliver J. Muensterer
Keyword(s):  
Pectus Excavatum ◽  
Pectus Carinatum ◽  
Operative Korrektur

ZusammenfassungBrustwanddeformitäten im Kindes- und Jugendalter sind als Ganzes betrachtet relativ häufig, wobei sie ein weites Spektrum von zum Teil sehr seltenen Entitäten umfassen. Pectus excavatum hat die höchste Prävalenz, es können symptomatische und asymptomatische Fälle auftreten. Symptomatische Patienten sollten behandelt werden, wobei die minimalinvasive operative Korrektur als effektiveres Verfahren neben der Saugglockenbehandlung die größte Rolle spielt. Pectus carinatum und Mischformen der Brustwanddeformität können ebenfalls zu einem erheblichen Leidensdruck führen und bedürfen in solchen Fällen einer individualisierten Therapie. Syndromale Brustwanddeformitäten wie beispielsweise das Jeune-Syndrom bilden eine eigene Gruppe von sehr seltenen Erkrankungen, die erhebliche, zum Teil auch lebensbedrohliche Komorbiditäten aufweisen. Solche Patienten sollten in Zentren mit entsprechender Expertise interdisziplinär und multimodal behandelt werden. Diese Übersichtsarbeit stellt die einzelnen Brustwanderkrankungen, deren Bedeutung und mögliche Therapieansätze vor.

Pectus Carinatum as a Sequela of Minimally Invasive Pectus Excavatum Repair

2002 ◽  
Vol 6 (1) ◽  
pp. 41-44 ◽  
Author(s):  
André Hebra ◽  
Patrick B. Thomas ◽  
Edward P. Tagge ◽  
William T. Adamson ◽  
H. Biemann Othersen
Keyword(s):  
Minimally Invasive ◽  
Pectus Excavatum ◽  
Pectus Carinatum

Pectus excavatum and pectus carinatum

1956 ◽  
Vol 91 (5) ◽  
pp. 770-776 ◽  
Author(s):  
W.Clayton Davis ◽  
Ferdinand V. Berley
Keyword(s):  
Pectus Excavatum ◽  
Pectus Carinatum

Reconstruction of Pectus Excavatum and Pectus Carinatum

2004 ◽  
pp. 99-111
Author(s):  
Theodore Wright ◽  
Seema Kumbhat ◽  
Michael Bentz
Keyword(s):  
Pectus Excavatum ◽  
Pectus Carinatum

Current Options for the Treatment of Pectus Carinatum: When to Brace and When to Operate?

2018 ◽  
Vol 28 (04) ◽  
pp. 347-354 ◽  
Author(s):  
Sherif Emil
Keyword(s):  
Minimally Invasive ◽  
Chest Wall ◽  
Pectus Excavatum ◽  
Surgical Correction ◽  
Diagnosis And Treatment ◽  
Pectus Carinatum ◽  
The Past ◽  
Minimally Invasive Surgical

AbstractPectus carinatum has traditionally been described as a rare chest wall anomaly in comparison to pectus excavatum. However, recent data from chest wall anomaly clinics demonstrate that this deformity is probably much more frequent than once believed. In the past, invasive surgical correction by the Ravitch technique was essentially the only option for treatment of pectus carinatum. Major advances over the past two decades have provided additional options, including noninvasive chest wall bracing and minimally invasive surgical correction. This article will discuss current options for the treatment of pectus carinatum, and some of the factors that should be taken into account when choosing the options available. Diagnosis and treatment of the pectus arcuatum variant will also be described.

scholarly journals Isolated Asymptomatic Short Sternum in a Healthy Young Girl

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Francesco Turturro ◽  
Cosma Calderaro ◽  
Antonello Montanaro ◽  
Luca Labianca ◽  
Giuseppe Argento ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Noonan Syndrome ◽  
Pectus Excavatum ◽  
The Other ◽  
Pectus Carinatum ◽  
Associated Anomalies ◽  
Xiphoid Process ◽  
First Case ◽  
Organ Systems ◽  
Inner Organs

Congenital sternal defects are rare deformities frequently associated with other anomalies of the chest wall and other organ systems. Although pectus excavatum, pectus carinatum, and cleft sternum can present as isolated deformity, in most cases they are associated with heart and inner organs anomalies and described as symptoms of syndromes like Marfan syndrome, Noonan syndrome, Poland anomaly, and Cantrell pentalogy. In contrast, the etiology of an isolated defect is not well understood. We observed a short sternum (dysmorphic manubrium, hypoplastic body, and complete absence of the xiphoid process) in a completely asymptomatic 13-year-old woman. A comprehensive instrumental exams panel was performed to exclude associated anomalies of the heart and of the other organ systems. The patient was completely asymptomatic and she did not need any medical or surgical treatment. To our knowledge, this is the first case of isolated short sternum reported in literature.

Costal cartilage changes in children with pectus excavatum and pectus carinatum

2018 ◽  
Vol 80 (5) ◽  
pp. 8
Author(s):  
A. V. Kurkov ◽  
V. S. Paukov ◽  
A. L. Fayzullin ◽  
A. B. Shekhter
Keyword(s):  
Pectus Excavatum ◽  
Costal Cartilage ◽  
Pectus Carinatum

Correction of Pectus Excavatum and Pectus Carinatum Assisted by the Endoscope

1997 ◽  
Vol 99 (4) ◽  
pp. 1037-1045 ◽  
Author(s):  
Seiichiro Kobayashi ◽  
Satoshi Yoza ◽  
Yuzo Komuro ◽  
Yasuo Sakai ◽  
Kitaro Ohmori
Keyword(s):  
Pectus Excavatum ◽  
Pectus Carinatum

scholarly journals Pectus carinatum

2007 ◽  
Vol 33 (4) ◽  
pp. 463-474 ◽  
Author(s):  
Marlos de Souza Coelho ◽  
Paulo de Souza Fonseca Guimarães
Keyword(s):  
Pectus Excavatum ◽  
Pectus Carinatum

Dentre as deformidades da parede torácica, o pectus carinatum não tem recebido o mesmo grau de interesse que o pectus excavatum, sendo sua abordagem desconhecida por grande parcela dos pneumologistas, pediatras e cirurgiões torácicos. Isto faz com que estes pacientes não sejam encaminhados para tratamento. Trata-se de deformidade com incidência de 1:1000 adolescentes, oligosintomática, mas que leva a consultas médicas por implicações de ordem estética e emocional, sendo seus portadores introvertidos, não praticantes de exercícios físicos e não freqüentadores de praias ou piscinas para não expor o tórax. O diagnóstico é clínico e visual, e detalhes são obtidos com a radiografia do tórax e a tomografia computadorizada. O tratamento é baseado em organograma bem conhecido, que resume as condutas ortopédicas e cirúrgicas. O compressor dinâmico do tórax, associado a exercícios físicos, é indicado nos adolescentes com tórax flexível no pectus carinatum inferior e pectus carinatum lateral, tendo indicação limitada no pectus carinatum superior. A indicação cirúrgica é feita pela presença da deformidade e com motivação estética, em adolescentes com tórax não flexível, em jovens, e em adultos. Dentre as técnicas relatadas, destaca-se a esternocondroplastia modificada, pelos excelentes resultados estéticos alcançados.

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