The operative treatment of the funnel chest.
نویسندگان
چکیده
The operative correction of the funnel chest is a difficult and important problem. Quite a number of methods and modifications have been mentioned. Late results, however, do not always come up to expectation. As a seriously deformed funnel chest may lead to troubles of the functions of the lungs and heart (Wegmann and Schaub, 1953; Schaub and Wegmann, 1954) operations should be limited to such cases only. Operating from a cosmetic point of view is not justified. The best age for a child to be operated on is 3 to 5 years. At this age we find an increased tendency to bronchitis, palpitation and delay of general physical development. Very serious disorders of the functions of the lungs and heart become evident in the second decade. On close examination of children under 10 years of age, we often found a reduction in maximum breathing capacity at this age too, as also did Brown and Cook (1951). An abnormal E.C.G. generally due to abnormal location of the heart was observed, too, with patients less than 10 years old. Operating at an early age is primarily a preventive measure. In many cases surgery has been successfully performed in adults. The operation becomes more difficult because of greater rigidity. The result is mostly not so satisfactory as it would be with a child, but the patient is no longer endangered by growing factors. The so-called limited, or ligament-cutting operation, at first used by Brown (1939) on infants, is not performed very often. Hausmann (1955) recommends the complete operation as early as the age of 2 years. Quite irrespective of whatever method may be applied, the operation is divided into two parts: mobilization and stabilization. Methods differ, in particular in the course of stabilization, whereas with regard to mobilization variations to any great extent are not possible.
منابع مشابه
Pectus updates and special considerations in Marfan syndrome
Congenital chest wall or pectus deformities including pectus excavatum (funnel chest) and pectus carinatum (pigeon chest) affect a significant proportion of the general population and up to 70% of patients with Marfan syndrome. Patients often experience significant morbidity and psychological distress, which can worsen with age. Here we discuss new techniques for both operative and non-operativ...
متن کاملLong-term result after operative correction of funnel chest.
During the last decades it has been commonly accepted that funnel chest is such a serious cosmetic handicap that it deserves correction for this reason alone. A group of patients with this deformity, operated upon by the method of Paltia (transsternal fixation with metal struts), was re-examined 5 to 10 years postoperatively. In more than 50% of the cases the immediate acceptable cosmetic resul...
متن کاملEffect of concurrent respiratory workout and mobility exercises on pain and anxiety in post-operative lung cancer surgery patients with chest tube
Background: Chest tube installation leads to several complications including pain and anxiety which in this case can become serious and affect the quality of life. Since non-pharmacological interventions can be used instead of drugs. Methods: This study is designed as a non-randomized clinical trial with control group. A total number of 81 were divided into 41 as intervention group and 40 ...
متن کاملChest drainage and its associated factors in patients who undergone coronary artery bypass grafting (CABG) surgery and admitted to the intensive care unit (ICU)
Introduction: Cardiac surgery is one of the common therapeutic interventions in patients with coronary artery disease. However, this therapeutic method has various complications during and after surgical operation. The most frequent complication after coronary artery bypass graft surgery (CABG) is the postoperative bleeding which is considered as a major problem. Objective: This study aims to ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Archives of disease in childhood
دوره 32 161 شماره
صفحات -
تاریخ انتشار 1957