Open AccessCombination of different thoracoplasty methods for recurrent pectus excavatum correction. Case report
Author(s) -
С. В. Колесов,
Д. В. Хаспеков,
A. A. Snetkov,
Artur S. Sar,
G. S. Kolesov
Publication year - 2020
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
Language(s) - English
Resource type - Journals
eISSN - 2658-6738
pISSN - 0869-8678
DOI - 10.17816/vto202027153-56
Subject(s) - pectus excavatum , medicine , funnel chest , deformity , rib cage , sternum , surgery , implant , anatomy
A case of surgical treatment of recurrent funnel-shaped chest deformity with the formation of a complex pathological conguration 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 dicult 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 signicantly reduce the trauma of the operation, avoid complications, eliminate damage to the implants and, ultimately, get a pronounced cosmetic result that fully meets the patients wishes.