Combination of different thoracoplasty methods for recurrent pectus excavatum correction. Case report

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Abstract


A case of surgical treatment of recurrent funnel-shaped chest deformity with the formation of a complex pathological configuration of the anterior chest wall with the III degree of sinking of the sternal-costal complex in a 35-year-old woman is presented. After primary thoracoplasty, the patient underwent mammoplasty with implant placement, which made it difficult to correct the deformity, due to the high risk of damage to both the capsules formed around the implants and the implants themselves. In addition to the sinking of the sternum and adjacent ribs, the patient had a pronounced deformation of the costal arches according to the «pterygoid» type, which also required correction. In order to correct this deformity, we used a combination of two well — known thoracoplasty methods-open resection and mini-invasive by D. NUSS. Thoracoplasty performed in this way allowed to significantly reduce the trauma of the operation, avoid complications, eliminate damage to the implants and, ultimately, get a pronounced cosmetic result that fully meets the patient’s wishes.


About the authors

S. V. Kolesov

Children’s State Hospital of St. Vladimir; N.N. Priorov Central Institute of Traumatology and Orthopedics; RUDN University

Author for correspondence.
Email: haspekov@mail.ru

Russian Federation, Moscow

D. V. Khaspekov

Children’s State Hospital of St. Vladimir; N.N. Priorov Central Institute of Traumatology and Orthopedics; RUDN University

Email: haspekov@mail.ru

Russian Federation, Moscow

A. A. Snetkov

Children’s State Hospital of St. Vladimir; N.N. Priorov Central Institute of Traumatology and Orthopedics; RUDN University

Email: haspekov@mail.ru

Russian Federation, Moscow

A. S. Sar

Children’s State Hospital of St. Vladimir; N.N. Priorov Central Institute of Traumatology and Orthopedics; RUDN University

Email: haspekov@mail.ru

Russian Federation, Moscow

G. S. Kolesov

Children’s State Hospital of St. Vladimir; N.N. Priorov Central Institute of Traumatology and Orthopedics; RUDN University

Email: haspekov@mail.ru

Russian Federation, Moscow

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Copyright (c) 2020 Kolesov S.V., Khaspekov D.V., Snetkov A.A., Sar A.S., Kolesov G.S.

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