scholarly journals Three-Dimensional Simulation for Breast Augmentation of Female Asymmetric Pectus Excavatum: A Case Report

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Yoshichika Yasunaga ◽  
Aya Tsuchiya ◽  
Yuta Nakajima ◽  
Shoji Kondoh ◽  
Masahiko Noguchi ◽  
...  
Keyword(s):  
Chest Wall ◽  
Breast Augmentation ◽  
Pectus Excavatum ◽  
Three Dimensional ◽  
Anterior Chest Wall ◽  
Nuss Procedure ◽  
Breast Asymmetry ◽  
Level Of Evidence ◽  
Dimensional Simulation ◽  
The Right

Abstract Breast augmentation for women with asymmetric pectus excavatum (PE) has a characteristic problem in that surgeons need to select implants while considering the left-right difference in breast volume, contour, and position. We herein report a 33-year-old woman with severe asymmetric PE who presented with residual breast asymmetry after chest wall correction using the Nuss procedure. Her right breast appeared hypoplastic and the right anterior chest wall remained depressed. Augmentation of the right breast with a silicone implant was performed, selecting the inserted implant preoperatively with the assistance of three-dimensional (3D) simulation. The breast asymmetry and anterior chest wall depression were improved to a natural appearance. Three-dimensional simulation represents an advantageous way to preoperatively select optimal implants for breast augmentation in asymmetric PE women with breast asymmetry. Level of Evidence: 5

Analysis of changes to the anterior chest wall after the Nuss procedure—an objective measurement of pectus excavatum

2009 ◽  
Vol 44 (12) ◽  
pp. 2291-2295 ◽  
Author(s):  
Pei-Yeh Chang ◽  
Chaur-Hsiang Chang ◽  
Jin-Yao Lai ◽  
Jeng-Chang Chen ◽  
Der-Baau Perng ◽  
...  
Keyword(s):  
Chest Wall ◽  
Pectus Excavatum ◽  
Anterior Chest Wall ◽  
Objective Measurement ◽  
Nuss Procedure

scholarly journals Is vacuum bell therapy effective in the correction of pectus excavatum?

2019 ◽  
Vol 29 (2) ◽  
pp. 287-290 ◽  
Author(s):  
Akshay J Patel ◽  
Ian Hunt
Keyword(s):  
Chest Wall ◽  
Pectus Excavatum ◽  
Significant Heterogeneity ◽  
Nuss Procedure ◽  
Soft Tissue Dissection ◽  
Computed Tomography Scanning ◽  
Wall Flexibility ◽  
Clinical Questions ◽  
Study Type

Abstract A best evidence topic in thoracic surgery was written in accordance to a structured protocol. The question addressed was: ‘In patients with a pectus excavatum deformity, is vacuum bell therapy (VBT) an effective treatment?’ Altogether, 19 papers were found using the reported search of which 7 represented the best evidence to answer the clinical questions. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Numerous groups have demonstrated the utility of VBT in pectus excavatum; the largest series has followed up patients over 13 years with sternal elevation of >1 cm being demonstrated in 105 patients. Initial age <11, initial chest wall depth <1.5 cm and chest wall flexibility have all been associated with better outcomes. The effects of VBT have been confirmed on computed tomography scanning and intraoperatively to lift the sternum to facilitate retrosternal soft tissue dissection during the Nuss procedure. There was significant heterogeneity in the studies reviewed, in terms of patient age, selection criteria, the VBT protocol, length of follow-up time following completion of VBT and the metrics used to assess success of therapy. VBT is a safe therapy for treating pectus excavatum in a non-surgical conservative manner with few complications reported. However, the success of VBT is largely dependent on patient compliance and motivation. Permanence of correction after completion of VBT needs to be properly assessed through rigorous follow-up, and currently the success of correction, i.e. permanence, remains in the hands of the patient.

Mediastinal tracheostomy: unilateral resection of the anterior chest wall

2005 ◽  
Vol 119 (11) ◽  
pp. 903-905 ◽  
Author(s):  
T Lequeux ◽  
G Chantrain ◽  
M P Thill ◽  
S Saussez
Keyword(s):  
Chest Wall ◽  
Median Sternotomy ◽  
Anterior Chest Wall ◽  
Tracheal Resection ◽  
Medial Part ◽  
New Techniques ◽  
Muscular Flap ◽  
The Right ◽  
Gastric Pull Up ◽  
Mediastinal Tracheostomy

Since the first reliable mediastinal tracheostomy described by Grillo et al. in 1966, many new techniques have been described in order to reduce the number of complications. We here report the case of a 55-year-old man who was referred for surgery with post-radiochemotherapy recurrence of a double neoplasm of the pharyngolarynx extending to the proximal trachea and the medial part of the oesophagus. Through a median sternotomy, a pharyngolaryngoesophagectomy was performed with an extended tracheal resection. The reconstruction of the upper digestive tract was performed with a gastric pull-up. The mediastinal tracheostomy was performed with a pectoralis major muscular flap through a right unilateral resection of the manubrium, the right clavicular head and the right first and second costal cartilages. Historically, the mediastinal tracheostomy was performed through a large bilateral resection of the anterior chest wall, in order to prevent the tension on the tracheocutaneous sutures. Nowadays, with the possibility of various pedicled flaps, bilateral resection no longer seems to be necessary. This unilateral resection leads to a reduction in post-operative sequelae.

Effects of the Nuss procedure on chest wall kinematics in adolescents with pectus excavatum

2012 ◽  
Vol 183 (2) ◽  
pp. 122-127 ◽  
Author(s):  
B. Binazzi ◽  
G. Innocenti Bruni ◽  
F. Gigliotti ◽  
C. Coli ◽  
I. Romagnoli ◽  
...  
Keyword(s):  
Chest Wall ◽  
Pectus Excavatum ◽  
Nuss Procedure ◽  
Chest Wall Kinematics

scholarly journals Anterior Chest Wall Involvement in Early Stages of Spondyloarthritis: Advanced Diagnostic Tools

2012 ◽  
Vol 39 (9) ◽  
pp. 1844-1849 ◽  
Author(s):  
ROBERTA RAMONDA ◽  
MARIAGRAZIA LORENZIN ◽  
ALESSANDRO LO NIGRO ◽  
STEFANIA VIO ◽  
PIETRO ZUCCHETTA ◽  
...  
Keyword(s):  
Chest Wall ◽  
Bone Scan ◽  
High Sensitivity ◽  
Anterior Chest Wall ◽  
Diagnostic Tools ◽  
Bone Edema ◽  
Rheumatology Unit ◽  
Bone Scans ◽  
Therapeutic Decision Making ◽  
The Right

Objective.Anterior chest wall (ACW) involvement is difficult to evaluate in patients with spondyloarthritis (SpA). Bone scan is sensitive to ACW involvement, while magnetic resonance imaging (MRI) detects early alterations in SpA. We compared the sensitivity and specificity of bone scans and MRI in assessing ACW in early SpA.Methods.Out of 110 patients with early SpA attending the Outpatient Rheumatology Unit Clinic of Padua University from January 2008 to December 2010, the 40 complaining of pain and/or tenderness [60% with psoriatic arthritis (PsA), 12.5% with ankylosing spondylitis, and 27.5% with undifferentiated SpA] underwent bone scans and MRI.Results.At clinical examination, sternocostoclavicular joints were involved in 87.5% on the right, 77.5% on the left, and 35% on the sternum. Bone scan was positive in 100% and MRI in 62.5% of these patients. Early MRI signs (bone edema, synovial hyperemia) were observed in 27.5%, swelling in 5%, capsular structure thickness in 37.5%, erosions in 15%, bone irregularities in 15%, osteoproductive processes in 12.5%, and osteophytes in 5%. A higher prevalence of Cw6, Cw7, B35, and B38 was found in 15%, 48%, 28%, and 12%, respectively, of the patients with PsA who had bone scans.Conclusion.Noted mainly in women, ACW involvement was frequent in early SpA. Both bone scans and MRI are useful in investigating ACW inflammation. Bone scans were found to have high sensitivity in revealing subclinical involvement, but a low specificity. MRI provides useful information for therapeutic decision making because it reveals the type and extent of the process. The significant associations of HLA-Cw6 and Cw7 with PsA could suggest that genetic factors influence ACW involvement.

Sternal Cleft and Pectus Excavatum: A Combined Approach for the Correction of a Complex Anterior Chest Wall Malformation in a Teenager

2015 ◽  
Vol 99 (6) ◽  
pp. e131-e135 ◽  
Author(s):  
Francesca Tocchioni ◽  
Marco Ghionzoli ◽  
Roberto Lo Piccolo ◽  
Diana E. Deaconu ◽  
Flavio Facchini ◽  
...  
Keyword(s):  
Chest Wall ◽  
Pectus Excavatum ◽  
Anterior Chest Wall ◽  
Combined Approach ◽  
Sternal Cleft
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