CORRECTION OF FUNNEL CHEST DEFORMITY*

Long-term results of radical thoracoplasty via small incisions with fixation of sternocostal complex by shape memory metal plate were studied. Total number of 263 patients, aged 2.5 - 45 years, with funnel chest deformity (FCD) were operated using that technique. Out of them 118 patients were under 18 years and 145 - over 18 years. In adult patients in children good results were achieved in 97.7% and 90.5% of cases, respectively. During the process of plate removal in children it was possible to correct residual chest deformity and achieve good results. In childhood radical thoracoplasty is indicated only to the patients with severe 2-3 stages of FCD and “least” FCD forms should be corrected at the mature age.

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Gradual correction of severe forms of funnel chest deformity

Kazan medical journal ◽

10.17816/kazmj64639 ◽

1993 ◽

Vol 74 (2) ◽

pp. 123-127

Author(s):

Yu. A. Plakseichuk ◽

G. Z. Gafarov ◽

A. Yu. Plakseichuk

Keyword(s):

Funnel Chest ◽

Functional Disorders ◽

Cardiorespiratory System ◽

Gradual Correction ◽

Chest Deformity

Funnel chest deformity (CFD) is a severe malformation, which, in addition to a cosmetic defect in the form of a depression of the sternum and ribs, is accompanied by various functional disorders in the cardiorespiratory system. The frequency of this defect, according to a number of domestic and foreign authors, varies depending on the region from 0.2% to 1.3%.

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The use of double catheter epidural anesthesia in the lumbar segment of the spine during surgical correction of funnel chest deformity

Kazan medical journal ◽

10.17816/kmj1564 ◽

2012 ◽

Vol 93 (4) ◽

pp. 654-656

Author(s):

R R Safin ◽

O G Anisimov

Keyword(s):

General Anesthesia ◽

Epidural Anesthesia ◽

Comparison Group ◽

Main Group ◽

Surgical Correction ◽

Thoracic Epidural Anesthesia ◽

Congenital Deformity ◽

Funnel Chest ◽

Thoracic Epidural ◽

Chest Deformity

Aim. To provide clinically effective epidural anesthesia during corrective thoracoplasty in children with congenital deformity of the chest with the use of an access, which makes it possible to minimize the probability of accidental spinal cord injury during the procedure. Methods. Conducted was a prospective study of 40 adolescents randomized to the main group (thoracic epidural anesthesia combined with general anesthesia) and the comparison group (general anesthesia), 20 observations in each group. In order to evaluate the effectiveness of the method at the time of surgery determined was the level of cortisol and glucose, and after the operation recorded were the times of resolution of the pneumothorax and of the intensity of pain. Results. In the main group a slight decrease in the biochemical markers of stress was noted in contrast to their moderate increase by the end of the operation in the comparison group. Associated complications and pain in the postoperative period in the main group were expressed to a lesser extent than in the comparison group. Conclusion. Thoracic epidural anesthesia combined with general anesthesia may be the method of choice during surgical correction of the funnel chest deformity.

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