Prevalência de pectus carinatum e pectus excavatum em escolares de Manaus

Westphal, Fernando Luíz; Lima, Luiz Carlos de Oliveira; Neto, José Corrêia Lima; Chaves, Altair Rodrigues; Júnior, Vítor Lazarini dos Santos; Ferreira, Brena Luize Cunha

doi:10.1590/s1806-37132009000300005

Cited by 44 publications

(27 citation statements)

References 14 publications

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“…In the present study, nearly half of the patients had a positive family history. However, in our study, we found fewer patients with scoliosis than has been reported in previous studies (16%–51%) [ 18 ]. Other anomalies are well known to be associated with these deformities (e.g., kyphosis, cardiac anomalies, and foot anomalies) [ 2 ].…”

Section: Discussioncontrasting

confidence: 71%

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Pectus Excavatum and Pectus Carinatum: Associated Conditions, Family History, and Postoperative Patient Satisfaction

Kuru

Cakiroglu

et al. 2016

Korean J Thorac Cardiovasc Surg

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BackgroundPectus excavatum (PE) and pectus carinatum (PC) are the most common chest wall deformities. In this study, we aimed to characterize how patients obtained information about these deformities, as well as patients’ family history, associated medical problems, and postoperative satisfaction after the Nuss and Abramson procedures.MethodsThis cross-sectional retrospective study included patients who were operated by a single surgeon between 2006 and 2013. Follow-up calls were made after approval of our institution’s ethics committee. We reached 207 of the 336 PE patients (61.6%) and 73 of the 96 PC patients (76%).ResultsThe majority of the patients were male (85% of the PE patients and 91.8% of the PC patients). The age of diagnosis of PE was 14.52±0.51 years and the age at the time of operation was 17.89±0.42 years; for PC patients, the corresponding ages were 15.23±0.55 years and 16.77±0.55 years, respectively. A total of 70% of the PE patients and 63.8% of the PC patients obtained information about pectus deformities through the Internet. In 27.1% of the PE patients with an associated anomaly, 57.1% (n=13) had scoliosis, while 41.1% of the PC patients with an associated anomaly had kyphosis (n=5). Postoperative satisfaction, as evaluated on a scale from 0 to 10, was 8.17±0.15 for PE patients and 8.37±0.26 for PC patients. The postoperative pain duration was 51.93±5.18 days for PE patients and 38.5±6.88 days for PC patients.ConclusionIn this study, we found that most patients with pectus deformities were male. The Internet was an important resource for patients to learn about their deformities. Family history and associated anomalies were identified as important aspects for consideration in the clinical setting. The patients reported high levels of postoperative satisfaction, and pain management was found to be one of the most important elements of postoperative care.

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Section: Discussioncontrasting

confidence: 71%

“…The prevalence of a family history may be very high, potentially reaching up to 40% in patients with PE [ 17 ]. In a study from Brazil, a family history of pectus deformities was found in 65% of patients [ 18 ]. In the present study, nearly half of the patients had a positive family history.…”

Section: Discussionmentioning

confidence: 99%

Pectus Excavatum and Pectus Carinatum: Associated Conditions, Family History, and Postoperative Patient Satisfaction

Kuru

Cakiroglu

et al. 2016

Korean J Thorac Cardiovasc Surg

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“…A search of previous publications revealed that the prevalence of pectus excavatum in dogs has not been reported; however, in cats it was found to be 2.05% (5/244) [15] and in humans 1.0–1.27% [16, 17]. Although the present study did not primarily focus on the incidence of pectus excavatum, 0.33% of puppies (8 out of 2,443) were found to have pectus excavatum.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Swimming Puppy Syndrome in 2,443 Puppies during the Years 2006–2012 in Thailand

Nganvongpanit

Yano

2013

Veterinary Medicine International

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The purpose of this study was to report on the prevalence of swimming puppy syndrome (SPS) and investigate predisposing factors. Data were recorded from 2,443 puppies (1,183 males and 1,260 females) in Thailand, October 2006–September 2012, including breed, sex, number of puppies per litter, type of nest floor, number of affected limbs, and occurrence of pectus excavatum. Fifty-two puppies (2.13%) were diagnosed with SPS. The breed most frequently affected was English Bulldog (8.33%). There was no significant difference (P > 0.05) between presence and absence of disease based on sex, breed, and nest floor type. The number of puppies per litter was associated with SPS; puppies from smaller litters (1.92 ± 1.12) had a higher prevalence of the disease (P < 0.01) than puppies from larger litters (3.64 ± 2.24). Moreover, 15.38% of puppies with affected limbs showed signs of pectus excavatum (8/52); this clinical sign was more prevalent (P < 0.01) in puppies with all four limbs affected with SPS.

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“…Although we excluded patients having Marfan’s disease and other connective tissue disorders, the incidence of scoliosis with a Cobb angle> 10° was much higher than that in ordinary population, yielding 17.6% in our pectus excavatum patients. Akcali et al [5] reported that scoliosis was associated with pectus deformities in 13.5% of his surveyed students recruited from public schools in Manaus, Brazil [10]. The scoliosis incidences discovered in teenagers during routine check-ups in Guangzhou and Xi’an were 1.07% and 1.33%, respectively [11,12].…”

Section: Discussionmentioning

confidence: 99%

“…The coexistence of pectus excavatum and scolosis has drawn much attention recently. Many reports have shown the coexistence of pectus excavatum and scoliosis in teenagers [4] and adults [5,6]. So far, the exact cause for the coexistence has remained unknown.…”

Section: Introductionmentioning

confidence: 99%

Mechanical factors play an important role in pectus excavatum with thoracic scoliosis

Wang

Chen

Xie

et al. 2012

J Cardiothorac Surg

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BackgroundThis study investigated the incidence, imaging characteristics and mechanical factors in scoliotic patients with pectus excavatum.MethodsA total of 142 scoliostic patients with pectus excavatum were evaluated prior to operation. The evaluation included a complete physical exam, phenotype and severity of the pectus excavatum, incidence and severity of scoliosis, and analysis of radiological images, including calculation of the Haller index.ResultsTwenty five out of 142 patients (17.61%) with pectus excavatum had scoliosis with a Cobb angle >10 degrees, and in 80.00% of the cases the spinal column was bent to the right. Seventeen patients had bent-to-the-right spines that involved the 6th to 10 th thoracic vertebrae. We found that 23 out of 25 patients with a Cobb angle more than 10° were teenagers and adults. The incidence of scoliosis was only 6.06% in the children under 11 years whereas it was 21.79% in the teenage group.ConclusionsMechanical forces appear to play a role in the coexistence of pectus excavatum and scoliosis. There is a relationship between age, severity (Haller index), asymmetry and scoliosis. The heart and mediastinum play a role in providing an outward force to the left of the sternum which may be an important reason for the coexistence of pectus excavatum and scoliosis, but the correlation needs further proof.

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Prevalência de pectus carinatum e pectus excavatum em escolares de Manaus

Cited by 44 publications

References 14 publications

Pectus Excavatum and Pectus Carinatum: Associated Conditions, Family History, and Postoperative Patient Satisfaction

Pectus Excavatum and Pectus Carinatum: Associated Conditions, Family History, and Postoperative Patient Satisfaction

Prevalence of Swimming Puppy Syndrome in 2,443 Puppies during the Years 2006–2012 in Thailand

Mechanical factors play an important role in pectus excavatum with thoracic scoliosis

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