Minimally invasive surgical correction of asymmetric keeled chest deformity in children


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Abstract

   Introduction. The authors present their experience in the practical application of thoracoplasty technique in asymmetric keeled deformity of the chest in children.
   Material and methods. 21 children with asymmetric keeled deformity of the chest were operated on with a new technique for thoracoplasty developed by the authors. A corrective plate was inserted directly under the sternum through the intermediate tunnel under visual control of the operational zone from an additional access at the edge of the sternum and adjacent deformed ribs.
   Results. In the vast majority of cases (20 out of 21), good (excellent) results were obtained; in one case, the outcome was satisfactory because of a slight residual bulging of the sternum and adjacent ribs what made the patient feel slightly discomfortable among peers.

   Conclusion. The developed technique of thoracoplasty in asymmetric keel deformity of the chest in children has resulted in optimal cosmetic outcomes in almost all the patients.

About the authors

A. Yu. Razumovskiy

N. I. Pirogov Russian National Research Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0002-9497-4070

117997

Moscow

Russian Federation

A. B. Alkhasov

National Center of Children's Health

Email: fake@neicon.ru
ORCID iD: 0000-0002-0644-2198

119991

Moscow

Russian Federation

Z. B. Mitupov

N. F. Filatov Children’s City Clinical Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0002-0016-6444

103001

Moscow

Russian Federation

A. A. I. Elnur

N. I. Pirogov Russian National Research Medical University

Author for correspondence.
Email: elnour100@mail.ru

Elnur Alshafi Adam Ismail, post-graduate student

117997

Moscow

Russian Federation

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