Preview

Health and Ecology Issues

Advanced search

Pectus excavatum in children: modern aspects of the problem

https://doi.org/10.51523/2708-6011.2024-21-2-02

Abstract

The article provides a historical background of the etiopathogenesis, approaches to diagnosis and surgical treatment of pectus excavatum (PE). Foreign and domestic literary sources on morphological changes in the chest and the functional state of internal organs in patients with intracranial hypertension and correlations with diseases of other organs and systems were studied. Data on diagnostics and treatment tactics for PE are summarized and systematized.

About the Authors

N. V. Motorenko
Gomel State Medical University
Belarus

Natallia V. Motorenko, Assistant Lecturer at the Department of Pediatrics

Gomel 



A. V. Vinnik
Gomel Regional Children’s Clinical Hospital
Belarus

Alexandr V. Vinnik, Head of the Orthopaedics and Traumatology Department

Gomel



References

1. Komolkin IA, Afanasiev AP, Shchegolev DV. The role of heredity in the origin of congenital chest deformities. Genius of Orthopedics. 2012;(2):152-156. [date of access 2023 June 27]. Available from: https://www.ilizarov-journal.com/jour/article/view/1861 (in Russ.).

2. Vinogradov AV. Sternochondrodistraction is a new method for the treatment of pectus excavatum in children. Children’s surgery. 2003;(2):21-23. (in Russ.).

3. Frantz FW. Indications and guidelines for pectus excavatum repair. Curr. Opin. Pediatr. 2011;23(4):486-491. DOI: https://doi.org/10.1097/MOP.0b013e32834881c4

4. Bauhinus J. Observatoinum Medicarim. Francfurti, Liver Ⅱ, Observ. 1600, 264: 507.

5. Greig JD, Azmy AF. Thoracic cage deformity: a late complication following repair of an agenesis of diaphragm. J Pediatr Surg. 1990 Dec;25(12):1234-1235. DOI: https://doi.org/10.1016/0022-3468(90)90513-9

6. Sweet RH. Pectus excavatum. Ann. Surg. 1944;119:922-934. DOI: https://doi.org/10.1097/00000658-194406000-00012

7. Tsvetkova TA, Kozlov EA, Rudakov SS. Extractability of costal cartilage and skin collagen in pectus excavatum in children. Medical questions. Chem. 1988;34(1):71. [date of access 2023 June 27]. Available from: http://pbmc.ibmc.msk.ru (in Russ.).

8. Polyudov SA, Goritskaya TA, Verovsky VA, Guz VI. Funnel chest deformity in children. Children’s hospital. 2005;(4):34-39. (in Russ.).

9. Brochhausen C, Turial S, Müller FK, Schmitt VH, Coerdt W, Wihlm JM, Schier F, Kirkpatrick CJ. Pectus excavatum: history, hypotheses and treatment options. Interact Cardiovasc Thorac Surg. 2012 Jun;14(6):801-806. DOI: https://doi.org/10.1093/icvts/ivs045

10. Kelly RE. Pectus excavatum: historical background, clinical picture, preoperative evalution and criteria for operation. Semin Pediatr Surg. 2008;17:182-193. DOI: https://doi.org/10.1053/j.sempedsurg.2008.03.002

11. Kelly RE, Lawson ML. Pectus excavatum in a 112-year autopsy series: anatomic finding and the effect on survival. J. Pediatr. Surg. 2005;40:1275-1278. DOI: https://doi.org/10.1016/j.jpedsurg.2005.05.010

12. Abakumova LN. Hereditary disorders of connective tissue. Russian recommendations. Cardiovascular therapy and prevention. 2009;8(6): appendix 5, 24. (in Russ.).

13. Nechaeva GI, Konev VP. Dysplastic deformities of the chest: morphogenesis, issues of nosological diagnosis. Tez. Ⅱ regional symposium. “Connective tissue dysplasia”. Omsk, 1992:96-72. (in Russ.).

14. Nechaeva GI, Morozov SL, Cherkashchenko DV. Pectus excavatum: current state of the problem. Kazan Medical Journal. 2007;88(5):17-21. (in Russ.).

15. Kelly RE. Pectus excavatum: historical background, clinical picture, preoperative evalution and criteria for operation. Semin. Pediatr. Surg. 2008;17:182-193. DOI: https://doi.org/10.1053/j.sempedsurg.2008.03.002

16. Abalmasova EA, Luzina EV. Congenital deformities of the musculoskeletal system and the causes of their origin. Tashkent: Medicine. 1976:178. (in Russ.).

17. Ruzikulov USh. Clinical manifestations of pectus excavatum in children of different ages. Journal of Theoretical and Clinical Medicine. 2014;(2):110-112. (in Russ.).

18. Narzikulov UK, Ruzikulov USh, Mavlyanova DA. Features of electrocardiographic parameters in children with pectus excavatum. Medicine and pharmacology. 2014;(4):3-12. (in Russ.).

19. Park SY. A Case of right ventricular dysfunction caused by pectus excavatum. J. Cardiovasc. Ultrasound. 2010;18:62-65. DOI: https://doi.org/

20. Nuss D, Obermeyer RJ, Kelly RE. Nuss bar procedure: past, present and future. Ann Cardiothorac Surg. 2016;5(5):422-433. DOI: https://doi.org/10.21037/acs.2016.08.05

21. Robicsek F, Watts LT, Fokin AA. Surgical repair of pectus excavatum and carinatum. Semin. Thorac. Cardiovasc. Surg. 2009;21(1): 64-75. DOI: https://doi.org/10.1053/j.semtcvs.2009.03.002

22. Gileva VA, Tyukhay DA. Radiation methods in assessing the degree of pectus excavatum (literature review). Young scientist. 2017; (4): 249-253. [date of access 2023 June 27]. Available from: https://moluch.ru/archive/138/38801/ (in Russ.).

23. Abid I, Ewais MM, Marranca J, Jaroszewski DE. Pectus excavatum: A review of diagnosis and current treatment options. J Am Osteopath Assoc. 2017;117 (2):106-113. DOI: https://doi.org/10.7556/jaoa.2017.021

24. Rebeis EB, Campos JRM, Fernandez A, Moreira LFP, Jatene FB. Anthropometric index for pectus excavatum. Clinics. 2007;62(5):599-606.

25. Park HJ, Lee IS, Kim KT. Extreme eccentric canal type excavatum: morphological study and repair techniques. Europ J Cardio-thor Surg. 2008.;34:150-154. DOI: https://doi.org/10.1016/j.ejcts.2008.03.044

26. Zeng Q, Zhang N, Chen CH, He YR. Classification of the pectus excavatum and minimally invasive Nuss procedure. Zhonghua Wai Ke Za Zhi. 2008 Aug 1;46(15):1160-1162. Chinese.

27. Pochkailo AS, Nenartovich IA, Galashevskaya AA. Vitamin D deficiency in pediatric practice: modern approaches to medical prevention, diagnosis, treatment: textbook. allowance. Minsk: Professional publications; 2021. P. 10-11. (in Russ.).

28. Timoshchenko VA, Vinogradov AV. Chest deformity after thoracoplasty in children. Children’s surgery. 2000;(2): 9-13. (in Russ.).

29. Ravitch MM. The Operative Treatment of Pectus Excavatum. Ann Surg. 1949 Apr.;129 (4): 429-444. DOI: https://doi.org/10.1097/00000658-194904000-00002

30. Nuss D. Minimally invasive surgical repair of pectus excavatum. Semin Pediatr Surg. 2008 Aug.;17(3):209-217. DOI: https://doi.org/10.1053/j.sempedsurg.2008.03.003

31. Krasopoulos G, Dusmet M, Ladas G, Goldstraw P. Nuss procedure improves the quality of life in young male adults with pectus excavatum deformity. Eur J Cardiothorac Surg. 2006;29(1):1-5. DOI: https://doi.org/10.1016/j.ejcts.2005.09.018 5

32. Pechetov AA, Esakov YuS, Gubaidullina GF, Makov MA. Choice of method for correcting pectus excavatum in older patients. Surgery. 2017;(7):24-29. (in Russ.). DOI: https://doi.org/10.17116/hirurgia2017724-29.


Review

For citations:


Motorenko N.V., Vinnik A.V. Pectus excavatum in children: modern aspects of the problem. Health and Ecology Issues. 2024;21(2):15-22. https://doi.org/10.51523/2708-6011.2024-21-2-02

Views: 275


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2220-0967 (Print)
ISSN 2708-6011 (Online)