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.
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.
The experience in treatment of 69 patients with funnel and 5 with pigeon thorax is presented. Patients over 14 years prevailed. At thoracoplasty radical subcartilagenous resection of the deformed costal cartilages was compulsory. In tunnel thorax sternocostal complex was fixed by tantalum brackets using original suturing device, Paltia plate and transfer of xiphoid process on the posterior sternum surface. In pigeon thorax Ravitch-1 operation was performed. In 76%) of patients right hemothorax that might be associated with patients age and use of suturing device was noted. Authors did not consider the opening of the right pleural sheet to be serious complication believing that it could be an appropriate means for surgical zone drainage. Use of such thoracoplasty techniques enabled to achieve good immediate and long term (up to 10 years) results in 98.6% of patients.
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