Preoperative and Postoperative Abnormalities in Chest X-ray Indices and in Lung Function in Pectus Deformities

Derveaux, L; Clarysse, I.; Ivanoff, Ignace; Demedts, Maurits

doi:10.1378/chest.95.4.850

Cited by 64 publications

(43 citation statements)

References 9 publications

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“…Unlike pectus excavatum, isolated pectus carinatum is not associated with respiratory compromise [2]. Consequently, operation is undertaken for cosmesis only.…”

Section: Resultsmentioning

confidence: 99%

Pectus carinatum successfully treated with bracing

Mielke

Winter

1993

International Orthopaedics

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We report the case of a 14 year old girl who desired treatment for a cosmetically objectionable pectus carinatum deformity. She was initially managed with a corrective underarm body cast for six weeks followed by full-time bracing for seven months. Subsequently, she was braced only at night for another eight months. Seven years after the onset of treatment she had an excellent result without recurrence of deformity. In a well-motivated, skeletally immature individual bracing can be an effective treatment for cosmetically displeasing pectus carinatum.

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“…Unlike pectus excavatum, isolated pectus carinatum is not associated with respiratory compromise [2]. Consequently, operation is undertaken for cosmesis only.…”

Section: Resultsmentioning

confidence: 99%

Pectus carinatum successfully treated with bracing

Mielke

Winter

1993

International Orthopaedics

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“…[7,8] Even after surgical correction of the deformity there is a significant reduction in the total capacity and inspiratory vital capacity of the lungs, probably a result of the decreased compliance of the chest wall. [9,10] However, the efficiency of breathing (ratio of tidal volume / inspiratory vital capacity) at maximal exercise improves significantly after operation.…”

Section: Cardiopulmonary Effectsmentioning

confidence: 99%

Pectus excavatum, pectus carinatum and other forms of thoracic deformities

Saxena

2005

J Indian Assoc Pediatr Surg

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“…The evaluation of patients, both during preoperative and postoperative periods, has been either subjective (15) (clinical inspection) or objective (3,(16)(17)(18)(19)(20) (clinical or radiological evaluation), depending on surgeon experience. There are very few studies in the literature on clinical measurements used to classify or quantify PEX.…”

Section: Introductionmentioning

confidence: 99%

“…Derveaux et al (20) , using lateral chest X-rays and evaluating the relationship between anteroposterior indices at the level of the angle of Louis and those seen at the xiphoid process level, classified patients with chest abnormalities in comparison to normal individuals. In addition, computed tomography (CT) scans were used to quantify PEX.…”

Section: Introductionmentioning

confidence: 99%

Índice antropométrico para classificação quantitativa do pectus excavatum

Rebeis¹,

Samano²,

Dias³

et al. 2004

J. bras. pneumol.

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Background: Pectus excavatum is characterized by concave growth of costal cartilage and depression of the lower sternum. Clinical means of classifying these malformations are few and difficult to apply. Objective:To devise clinical tools for quantifying the deformity and comparing preoperative and postoperative findings.Method: A total of 10 pectus excavatum patients who underwent surgery in which the modified Robicsek technique was used by the Thoracic Surgery Group of the Hospital das Clínicas of the University of São Paulo School of Medicine, were clinically and radiologically evaluated in the preoperative and postoperative periods. Ten control individuals, presenting no thoracic or radiological abnormalities, were submitted to identical evaluations. Deformities at the sternum notch level and at the point of maximum deformity were assessed using the anthropometric index and the Haller index.Results: Multivariate analysis of anthropometric index means revealed significant differences between preoperative and control values and between preoperative and postoperative values, as well as a nonsignificant difference between postoperative and control values. The same results were obtained when Haller index means were analyzed. A paired comparison of preoperative and postoperative means showed two distinct groups. An 86% canonical correlation was found between the anthropometric index and the Haller index. Conclusion:Patients with pectus excavatum can be quantitatively assessed in the preoperative and postoperative periods through the use of the anthropometric index, which allows objective, comparative evaluation of the results and is easily performed.

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Preoperative and Postoperative Abnormalities in Chest X-ray Indices and in Lung Function in Pectus Deformities

Cited by 64 publications

References 9 publications

Pectus carinatum successfully treated with bracing

Pectus carinatum successfully treated with bracing

Pectus excavatum, pectus carinatum and other forms of thoracic deformities

Índice antropométrico para classificação quantitativa do pectus excavatum

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