Pathological Influences of Dysplastic Disturbances for Clinical Manifestations and Surgical Treatment of Pectus Excavatum in Children and Adolescents
Journal Title: International Journal of Medical and Health Sciences - Year 2014, Vol 3, Issue 3
Abstract
Background: The significance of evaluation phenotypic manifestations of dysplastic disturbances are concluded in the choice for the correctional methods of pectus excavatum. Previously, it occurred more frequently that the several complications after surgical treatment of the pectus excavatum with syndromes pathology of connective tissues were revealed. Purpose: analysis of the phenotypic dysplastic features and clinical manifestations of pectus excavatum in operated children and adolescents with syndromes pathology of connective tissues. Materials and methods: The study was performed on 25 children, who underwent the operative treatment in children’s traumatology, deformations of thorax and pathology of spine department, SRITO of Republic Uzbekistan in 2011-2012 with pectus excavatum. Results: The degree of dysplastic manifestations would influence for expected results after surgery. Good cosmetic results were obtained in all clinical cases. In the short-term, our results were excellent when the elimination was performed on time. Only in 5 (20%) cases did the periodic neuralgic pain and in 2 (8%) cases over the longterm period. The relapse of achieved correction in 2 (8%) cases, the atypical secondary moderate depth deformation in 2 (8%), the secondary pectus carinatum view deformation in 3 (12%) cases. In three cases it was necessary to introduce the second Nuss steel bar to hold the stercostal complex in corrected position 6 months after inserting the first plate. Discussion:The reason for occurrence of these complaints after correction of pectus excavatum were associated with delaying an ossification and incomplete formation of bone strength in the field of sternocostal complex in adolescent's age.
Authors and Affiliations
Sherali K. Khakimov, Iskandar Yu. Khodjanov , Ilkhom E. Khujanazarov
Keywords
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