Thorax Wall Anomalies

Pectus excavatum is the posterior depression of the sternum and costal cartilages. It is the most common congenital chest deformity (2) and its incidence is 1/700. The diagnosis of symptoms and the recommendation for surgical correction have been highly controversial. It is debatable whether the disease is a cosmetic problem or a disease.
There is a posture disorder in which the shoulders are forward; It is clinically well tolerated in infancy and childhood. However, the current posture disorder and appearance cause psychological distress, and mitral valve prolapse may occur, and rarely, it may cause arrhythmia and tachycardia. If the heart's thrust is severe, it may reduce the stroke volume and also cause exercise intolerance.
Surgical intervention
1) Open surgery (very rarely used)
2) Minimal invasive (Nuss method): Placement of an individually angle-adjusted C-shaped steel rod behind the sternum, the sternum is lifted and the rod is removed after 2-3 years.
Sternum is protruding outwards; has moved away from the vertebrae.

It is used in patients younger than 18 years of age who avoid surgical intervention. Patient motivation is important. It is an orthodontic treatment-like approach applied to teeth; A specially produced splint is made for the patient. It should be worn for at least 14-16 hours per day; It is used for at least 2 years/or until height growth stops.
Poland described the congenital absence of the pectoralis major and minor muscles together with syndactyly in 1841. Other components are absence of ribs, chest wall depression and nipple anomalies. Nipple involvement is common and can vary from mild hypoplasia to absent nipple. A decrease in subcutaneous fat tissue and absence of axillary hair may be observed. Brachydactyly and syndactyly can be seen in the hand, and especially the central finger is affected. The most severe form is that the claw hand and the last four fingers are attached.

Deformity major If the loss of function is limited to the sternal components of the minor pectoral muscles and is minimal, no surgical procedures other than breast augmentation are performed on female patients. If the costal cartilages are depressed or absent, surgery may be considered to minimize concavity.
All kinds of diagnostic, treatment and surgical procedures are performed in Göztepe Pediatric Surgery Clinic, which is equipped with advanced technology and experience for the mentioned chest deformities.

PDF dökümanı(PDF)

PDF önizleme

PDF dökümanı(PDF)

PDF önizleme

PDF dökümanı(PDF)

PDF önizleme