Surgical correction of asymmetric keeled deformity of the chest in children (literature review)



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Introduction. The purpose of the literature review on surgical treatment of patients with asymmetric keel deformity chest in children - to determine the optimal methods of surgical correction of this pathology.

Material and methods. Taking into account the shape, localization and type of severity of the asymmetric keel deformity the data of surgical treatment of children with asymmetric chest deformity using widely known methods of thoracoplasty have been studied. In a comparative aspect, the data on the use of the minimally invasive D. Nuss technique and its modifications are analyzed.

Results. It was found that thoracoplasty by the Bairov method is the least effective, in addition, after them the greatest number of postoperative complications (10.5%) in the form of hemo-, pneumo- and hydrothorax was recorded, which significantly increased the period of hospital stay and subsequent rehabilitation of patients. The use of minimally invasive interventions, on the contrary, turned out to be the most effective of all the methods used to correct chest deformities and is characterized by a low percentage of complications, however, long-term postoperative analgesia occurs.

Conclusion. Thus, at the present time there is no consensus on the priority of methods of surgical correction of ACDGC, which necessitates further research in this area and improvement of existing and development of new methods of surgical treatment of the pathology in question.

作者简介

A. Elnour

Russian National Research Medical University named after N.I. Pirogov of the Ministry of Health of the Russian Federation

编辑信件的主要联系方式.
Email: elnour100@mail.ru
ORCID iD: 0000-0001-6473-8838

Elnur Alshafi Adam Ismail - Post-graduate student of the Russian National Research Medical University named after N.I. Pirogov of the Ministry of Health of the Russian Federation.

117997, Moscow.

俄罗斯联邦

A. Razumovsky

Russian National Research Medical University named after N.I. Pirogov of the Ministry of Health of the Russian Federation; Children's City Clinical Hospital named after N.F. Filatov of the Department of Health of the City of Moscow

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

117997, Moscow; 103001, Moscow.

俄罗斯联邦

参考

  1. Buziashvili D., Gopman J.M., Weissler H. et al. An Evidence-Based Approach to Management of Pectus Excavatum and Carinatum. Ann Plast Surg. 2019; 82(3): 352-8.
  2. Alaca N., Yüksel M. Comparison of physical functions and psychosocial conditions between adolescents with pectus excavatum, pectus carinatum and healthy controls. Pediatr Surg Int. 2021; 37(6): 765-75.
  3. Alqadi G.O., Saxena A.K. Analysis of Psychological Assessments Affecting Patients Undergoing Treatment for Chest Wall Deformities. Am Surg. 2021: 31348211038585.
  4. Yulchiev K.S., Karimov D.K. Treatment of keeled chest deformity in children. Re-health journal. 2020; 3-2(7): 153-5.
  5. Katrancioglu O., Akkas Y., Karadayi S. et al. Is the Abramson technique effective in pectus carinatum repair? Asian J Surg. 2018; 41(1): 73-6.
  6. Hoffmann T., Katballe N., Stokholm N0rlinger T. et al. Surgical correction of pectus carinatum. Multimed Man Cardiothorac Surg. 2020; 2020.
  7. Geraedts T.C.M., Daemen J.H.T., Vissers Y.L.J. et al. Minimally invasive repair of pectus carinatum by the Abramson method: A systematic review. J Pediatr Surg. 2021: S0022-3468(21)00829-0.
  8. Kocher G., Gioutsos K., Nguyen T.L., Sesia S. Minimally invasive repair of pectus carinatum using the Abramson technique. Multimed Man Cardiothorac Surg. 2021; 2021.
  9. Shang Z., Hong C., Duan X. et al. Orthotic Bracing or Minimally Invasive Surgery? A Summary of 767 Pectus Carinatum Cases for 9 Years. Biomed Res Int. 2021; 2021: 6942329.
  10. Агранович О.Е., Комолкин И.А., Димитриева А.Ю. Синдром Поланда. Ортопедия, травматология и восстановительная хирургия детского возраста. 2017; 5(1): 63-70.
  11. Касымов Х.А., Ходжанов И.Ю., Умаров Ф.Х., Шоматов Х.Ш., Байимбетов Г.Дж., Ни Г.В., Эдилов У.А. Деформации грудной клетки. В кн: Современные аспекты травматологии, ортопедии и реконструктивной хирургии. Материалы научно-практической конференции с международным участием, посвящённой 90-летию со дня рождения профессора Н.П. Демичева. г. Астрахань, 22-23 марта 2019 г. Под редакцией С.В. Дианова, А.Н. Тарасова. Астрахань: Изд-во Астраханского государственного медицинского университета; 2019: 44-45.
  12. Martinez-Ferro M., Bellia-Munzon G., Schewitz I.A., Toselli L. Pectus carinatum: When less is more. Afr J Thorac Crit Care Med. 2019; 25(3): https://doi.org/10.7196/AJTCCM.2019.v25i3.019
  13. Аксельров М.А., Разин М.П., Сатывалдаев M.H. и др. Килевидная деформация грудной клетки. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2018; 8(3): 45-52.
  14. Desmarais T.J., Keller M.S. Pectus carinatum. Curr Opin Pediatr. 2013; 25(3): 375-81.
  15. Işık H., Çaylak H., Sapmaz E. et al. Demographic characteristics of pectus deformities across Turkey. Turk Gogus Kalp Damar Cerrahisi Derg. 2020; 28(2): 322-30.
  16. McHam B., Winkler L. Pectus Carinatum. 2022 May 3. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan. PMID: 31082165.
  17. Westphal F.L., Lima L.C., Lima Neto J.C. et al. Prevalence of pectus carinatum and pectus excavatum in students in the city of Manaus, Brazil. J Bras Pneumol. 2009; 35: 221-6.
  18. Coskun Z.K., Turgut H.B., Demirsoy S., Cansu A. The prevalence and effects of pectus excavatum and pectus carinatum on the respiratory function in children between 7-14 years old. Indian J Pediatr. 2010; 77: 1017-9.
  19. Ramadan S., Wilde J., Tabard-Fougere A., et. al. Cardiopulmonary function in adolescent patients with pectus excavatum or carinatum. BMJ Open Respir Res. 2021; 8(1): e001020.
  20. Port E., Hunter C.J., Buonpane C., et. al. Echocardiography Reveals Heart Abnormalities in Pediatric Pectus Carinatum. 2020; 256: 364-67.
  21. Paulson J.F., Ellis K., Obermeyer R.J., et. al. Development and validation of the Pectus Carinatum Body Image Quality of Life (PeCBI-QOL) questionnaire. J Pediatr Surg. 2019; 54(11): 2257-60.
  22. Alqadi G.O., Saxena A.K. Analysis of Psychological Assessments Affecting Patients Undergoing Treatment for Chest Wall Deformities. Am Surg. 2021: 31348211038585.
  23. Orrick B.A., Pierce A.L., McElroy S.F. Changes in self-image after Pectus carinatum brace treatment. J Pediatr Surg. 2021: S0022-3468(21)00832-0.
  24. Steinmann C., Krille S., Mueller A., et. al. Pectus excavatum and pectus carinatum patients suffer from lower quality of life and impaired body image: a control group comparison of psychological characteristics prior to surgical correction. Eur J Cardiothorac Surg. 2011; 40(5): 1138-45.
  25. Bostanci K., Ozalper M.H., Eldem B. et al. Quality of life of patients who have undergone the minimally invasive repair of pectus carinatum. Eur J Cardiothorac Surg. 2013; 43:122-6.
  26. Bahadir A.T., Kuru Bektaşoğlu P., Çakiroğlu Eser A. et al. Psychosocial functioning in pediatric patients with pectus excavatum and pectus carinatum. Turk J Med Sci. 2017; 47(3): 771-7.
  27. Курков А.В. Морфологические проявления дисплазии соединительной ткани в рёберных хрящах при воронковидной и килевидной деформациях грудной клетки у детей. Дисс. канд. .. мед. наук. Москва: 2019.
  28. Moon D.H., Kang M.K., Lee H.S., Lee S. Long-Term Results of Compressive Brace Therapy for Pectus Carinatum. Thorac Cardiovasc Surg. 2019; 67(1): 67-72.
  29. Swanson J.W., Colombani P.M. Reactive pectus carinatum in patients treated for pectus excavatum. J Pediatr Surg. 2008; 43: 1468-73.
  30. Комолкин И.А., Мушкин А.Ю., Ульрих Э.В. Врождённые пороки развития грудной клетки: трехплоскостная модель, классификация и количественная оценка (новый подход к тактической систематизации патологии). Медицинский альянс. 2019; 7(3): 57-65.
  31. Акатова Е.В., Аникин В.В., Арсентьев В.Г. Недифференцированные дисплазии соединительной ткани (проект клинических рекомендаций). Терапия. 2019; 7(33): 9-42.
  32. Нечаева Г.И., Мартынов А.И. Дисплазия соединительной ткани: сердечно-сосудистые изменения, современные подходы к диагностике и лечению. М.: ООО «Медицинское информационное агентство». 2017; 400 с.
  33. Fonkalsrud E.W., Beanes S. Surgical management of pectus carinatum: 30 years' experience. World J Surg. 2001; 25: 898-903.
  34. Thaker S., Anderson M., Fezio J., et. al. Pectus Carinatum: Factors That Contribute to Success and Failure of Nonoperative Treatment. Conn Med. 2017; 81(4): 203-8.
  35. Pollock L., Ridout A., Teh J., et. al. The Musculoskeletal Manifestations of Marfan Syndrome: Diagnosis, Impact, and Management. Curr Rheumatol Rep. 2021; 23(11): 81.
  36. Loeys B.L., Dietz H.C., Braverman A.C., et. al. The revised Ghent nosology for the Marfan syndrome. J Med Gene. 2010; 47: 476-85.
  37. Jones K.L., Jones M.C., Campo M. Del. Smith's Recognizable Patterns of Human Malformation. Elsevier Health Sciences; 2013: 979.
  38. Brochhausen C., Muller F.K., Turial S., et. al. Pectus carinatum-first ultrastructural findings of a potential metabolic lesion. Eur J Cardiothorac Surg. 2012; 41(3): 705-6.
  39. Edward K.R., John O.R., Jay G.M., et. al. Ten-year experience with staged management of pectus carinatum: Results and lessons learned. J Pediatr Surg. 2021; 56(10): 1835-40.
  40. Emil S. Current Options for the Treatment of Pectus Carinatum: When to Brace and When to Operate? Eur J Pediatr Surg. 2018; 28(4): 347-54.
  41. Banever G.T., Konefal S.H., Gettens K., Moriarty K.P. Nonoperative correction of pectus carinatum with orthotic bracing. J Laparoendosc Adv Surg Tech A. 2006; 16(02):164-7.
  42. Martinez-Ferro M., Bellia-Munzon G., Schewitz I.A., Toselli L. Pectus carinatum: When less is more. Afr J Thorac Crit Care Med. 2019; 25(3): https://doi.org/10.7196/AJTCCM.2019.v25i3.019.
  43. Шоминова А.О., Митупов З.Б. Консервативное лечение деформаций грудной клетки у детей. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2020; 10: 198.
  44. Shamberger R.C., Welch K.J. Surgical correction of pectus carinatum. J Pediatr Surg. 1987; 22(1): 48-53.
  45. Митупов З.Б., Разумовский А.Ю., Алхасов А.Б. и др. Результаты коррекции килевидной деформации грудной клетки. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2020; 10: 104.
  46. Разумовский А.Ю., Алхасов А.Б., Рачков В.Е., Митупов З.Б., Савчук М.О. Торакопластика при килевидной деформации грудной клетки у детей. Хирургия. Журнал им. Н.И. Пирогова. 2011; 4: 25-31.
  47. Fonkalsrud E.W., Anselmo D.M. Less extensive techniques for repair of pectus carinatum: the undertreated chest deformity. J Am Coll Surg. 2004; 198(06): 898-905.
  48. Del Frari B., Sigl S., Schwabegger A.H. Complications related to pectus carinatum correction: lessons learned from 15 years' experience. Management and literature review. Plast Reconstr Surg. 2016; 138(02): 317e-29e.
  49. Стальмахович В.Н. и др. Лечение врожденной килевидной деформации грудной клетки у детей. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2020; 10: 162-2.
  50. Разумовский А.Ю., Алхасов А.Б., Рачков В.Е., Митупов З.Б., Савчук М.О. Торакопластика при килевидной деформации грудной клетки у детей. Хирургия. Журнал им. Н.И. Пирогова. 2011; (4): 25-31.
  51. Разумовский А.Ю., Алхасов А.Б., Митупов З.Б. и др. Минимально инвазивные технологии в хирургии грудной стенки у детей. Проблемы социальной гигиены, здравоохранения и истории медицины. 2019; 27: 687-92.
  52. Abramson H. Método miniinvasivo para la corrección del pectus carinatum. Comun Prelim. 2005; 41: 49-51.
  53. Bilgin M. Early results of minimal invasive surgery in patients with pectus carinatum. Turk J Thorac Cardiovasc Surg. 2012; 20: 307-11.
  54. Аксельров П.М. Можно ли улучшить результаты операции при килевидной деформации грудной клетки? Модификация операции Абрамсона. В: Актуальные проблемы современной медицины и фармации 2021 [электронный ресурс]: сборник тезисов докладов LXXV Международной научно-практической конференции студентов и молодых учёных, Минск. 14—16 апреля 2020 г. Под ред. С.П. Рубниковича, В.А. Филонюка. Минск; 2021: 368.
  55. Yuksel M., Lacin T., Ermerak N.O. et al. Minimally invasive repair of pectus carinatum. Ann Thorac Surg Soc Thorac Surg. 2018; 105: 915-23.
  56. Ozkaya M., Bilgin M. Minimally invasive repair of pectus carinatum: a retrospective analysis based on a single surgeon's 10 years of experience. Gen Thorac Cardiovasc Surg. 2018; 66(11): 653-7.
  57. Kim S., Idowu O. Minimally invasive thoracoscopic repair of unilateral pectus carinatum. J Pediatr Surg. 2009; 44(2): 471-4.
  58. Varela P., Torre M. Thoracoscopic cartilage resection with partial perichondrium preservation in unilateral pectus carinatum: Preliminary results. J Pediatr Surg. 2011; 46(1): 263-6.
  59. Ping W., Fu S., Li Y. et al. A new minimally invasive technique for correction of pectus carinatum. J Cardiothorac Surg. 2021; 16(1): 280.
  60. Tarhan T., Meurer A., Tarhan O. Combined extra-/intrathoracic correction of pectus carinatum and other asymmetric chest wall deformities: A novel technique. Oper Orthop Traumatol. 2018; 30(6): 469-78.
  61. Дмитриенко А.П. Хирургическая коррекция килевидной деформации грудной клетки у детей с использованием малоинвазивных технологий: дис. ... канд. мед. наук. А.П. Дмитриенко. Омск, 2014; 107.

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