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Summary. + e article shows the stages of treatment of funnel chest in the Tomsk Region from 1977 to 2009. + e work provides the analysis of surgical treatment of 78 patients, including 16 children treated by G.A. Bairov’s method, 20 children were operated using suspension splint with damping arrangement, 42 patients were operated by author’s method by means of thoracoplasty with the following / xation of costosternal complex using previously chilled titanium nickelide plates, which have thermodynamic properties. + ere were also presented the main stages of new technique, including the “classical” type of surgical intervention.It has been noted that using titanium nickelide plates with the shape memory to correct funnel chest in children and adolescents is the method of choice and brings good clinical results. Key words: thorax surgery, funnel chest, thoracoplasty, titanium nickelid.s‚‡!‰“ŽŽ‘“ ‰“™‡‚’S‘€€ †‚ˆ‰Ž‡… „s“‹„€ ˜‚“‰ƒ‹SŒ-s€µ‹ ƒ‡†‡… ˜‡‚‡„€ ‚SžŒ€‹€€, ƒŒ€žSŽŽ‘“ ƒ €ž’“Ž“Ž€“’ “# ™‡‚’‘. —S€†‡s““ œSƒ‹‡ Œƒ‹‚“œS“‹ƒ€ Œ‡‚‡Ž„‡‡†‚Sž-ŽS€ ‰“™‡‚’S‘€€ †‚ˆ‰Ž‡… „s“‹„€ (sOA5) [1,3]. ¾‹‡ ˜‡-‚‡„ ‚SžŒ€‹€€, „‡‹‡‚‘… „‚‡’“ „‡ƒ’“‹€œ“ƒ„‡†‡ ‰“™“„‹S ƒ‡˜‚‡Œ‡!‰S“‹ƒ€ € ™ˆŽ„‘€‡ŽSs°Ž‘’€ ŽS‚ˆ&“Ž€€’€ ƒ‡ ƒ‹‡‚‡Ž‘ ƒ“‚‰“œŽ‡-ƒ‡ƒˆ‰€ƒ‹‡… € †‚‡Ž›‡-s“†‡œŽ‡… ƒ€-ƒ‹“’. I‡ ‰SŽŽ‘’ ‡‹“œ“ƒ‹Œ“ŽŽ‘› SŒ‹‡‚‡Œ sOA5 ˆ ‰“‹“… Œƒ‹‚“œS“‹ƒ€ ‡‹ 0,06 ‰‡ 2,3%, S ˜‡ ‰SŽŽ‘’ žS‚ˆ†“!Ž‘› SŒ‹‡‚‡Œ ‡‹ 0,2 ‰‡ 1,3 % [6, 12, 13].=€‚ˆ‚†€œ“ƒ„‡“ s“œ“Ž€“ Œ‚‡!‰“ŽŽ‘› ‰“™‡‚’S‘€… †‚ˆ‰Ž‡… „s“‹„€ ˆ ‰“‹“… €Œs€“‹ƒ€ ‡‰Ž‡… €ž ƒ“‚°#žŽ‘› € S„‹ˆSs°Ž‘› ˜‚‡†s“’ ‹‡‚S„Ss°Ž‡… ›€‚ˆ‚†€€ ‰“‹ƒ„‡-†‡ Œ‡ž‚Sƒ‹S. s ŽSƒ‹‡€%““ Œ‚“’€ ƒˆ%“ƒ‹Œˆ“‹ ’Ž‡!“ƒ‹Œ‡ ’“‹‡‰‡Œ ‹‡‚S„‡˜sSƒ‹€„€ Œ‚‡!‰“ŽŽ‘› ‰“™‡‚’S‘€… ˆ ‰“-‹“… [5, 7, 9]. •‡Œ“‚&“Žƒ‹Œ‡ŒSŽ€“ € &€‚‡„‡“ ŒŽ“‰‚“Ž€“ ’Ss‡€ŽŒSž€ŒŽ‘› € Œ‘ƒ‡„‡‹“›Ž‡s‡†€œŽ‘› ’“‹‡‰‡Œ ˜‚€ ›€‚ˆ‚†€œ“ƒ„‡’ s“œ“Ž€€ Œ‚‡!‰“ŽŽ‘› ‰“™‡‚’S‘€… †‚ˆ‰-Ž‡… „s“‹„€ €Œs€“‹ƒ€ &S†‡’ Œ˜“‚“‰ Œ "‹‡’ ŽS˜‚SŒs“Ž€€ [4, 8, 11, 14]. '‰ŽS„‡ S„‹ˆSs°Ž‘’€ € Ž“‚“&“ŽŽ‘’€ ‡ƒ‹S-µ‹ƒ€ Œ‡˜‚‡ƒ‘ ‡˜‹€’Ss°Ž‡… ‹S„‹€„€ s“œ“Ž€€ †‡s°Ž‘› Œ ‡‹Ž‡&“Ž€€ Œ‘†‡‚S ƒ˜‡ƒ‡†S ƒS’‡… ‹‡‚S„‡˜sSƒ‹€„€ ƒ˜‡ƒ‡†‡Œ ˆƒ‹SŽ‡Œ„€ „‡‚‚€†€‚ˆµ%€› €’˜sSŽ‹‡Œ € ™€„-ƒS‘€€ †‚ˆ‰€Ž‡-‚“†“‚Ž‡†‡ „‡’˜s“„ƒS [10, 13]. s €ƒƒs“-‰‡ŒSŽ€€› s.—. •‹Ss°’S›‡Œ€œS € ƒ‡SŒ‹. ‡‹’“œS“‹ƒ€, œ‹‡ ˜‚‡Œ“‰“Ž€“ ‹€‹SŽ‡Œ‡… ˜sSƒ‹€Ž‘ Œ žS†‚ˆ‰€ŽŽ‡’ ˜‚‡-ƒ‹‚SŽƒ‹Œ“ (žSŒ“‚&Sµ%€… "‹S˜ ‡˜“‚S‘€€) Œƒ“†‰S ˜‚‡€ƒ-›‡‰€‹ ƒ †‡s°&€’€ ‹“›Ž€œ“ƒ„€’€ ‹‚ˆ‰Ž‡ƒ‹€’€ [10]. ¾‹‡ ‡†?€ƒŽ€“‹ƒ€ ‹“’, œ‹‡ ƒ‹‚“’€ƒ° ˆsˆœ&€‹° „‡ƒ’“‹€œ“ƒ„€“ € „s€Ž€œ“ƒ„€“ ‚“žˆs°‹S‹‘ ›€‚ˆ‚†€œ“ƒ„‡†‡ s“œ“Ž€€, ›€-‚ˆ‚† ˆƒs‡!Ž€“‹ ƒ“†“ ‹“›Ž€œ“ƒ„ˆµ žS‰Sœˆ. I‡"‹‡’ˆ ‘“-s°µ ‰SŽŽ‡†‡ €ƒƒs“‰‡ŒSŽ€€ ˜‡ƒsˆ!€s€ SŽSs€ž ‚Sžs€œ-Ž‘› ˜‡‰›‡‰‡Œ € ‡˜‹€’€žS‘€€ ›€‚ˆ‚†€œ“ƒ„‡†‡ s“œ“Ž€€ sOA5 ƒ €ƒ˜‡s°ž‡ŒSŽ€“’ ’S‹“‚€Ss‡Œ €ž Ž€„“s€‰S ‹€‹SŽS ˜‚€ ‡˜“‚S‹€ŒŽ‡’ s“œ“Ž€€ Œ‡‚‡Ž„‡‡†‚SžŽ‡… †‚ˆ‰Ž‡… „s“‹„€.

Surgical treatment of funnel chest in children using titanium nickelide materials