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At least 109 records · Page 6Linked to original sources

[Thoracoplasty in scoliosis in children].

The article presents results of resection of costal humpback in 102 patients with scoliosis. Subperiosteal resection of the costal humpback without a fixation of the spine gave insufficient results, while resection of the humpback with a fixation of the spine with the Harrington distractor gave satisfactory results. Methods of decompressive thoracoplasty of the concave side of the chest in scoliosis were developed and used in 22 operations. Satisfactory cosmetic and functional results were obtained. No progress of scoliosis was noted. Within a year the lung volume became 2,8% greater as compared with the initial parameters.

Adolescent↗

[Thoracoplasty today. Review of a technique of the past].

Thoracoplastic operations had ruled the field in the past as treatment of choice in the surgical antituberculous collapse therapy; they have had a notable revival during the last years as an efficient therapeutic modality in the treatment of chronic empyemas of the most various etiologies. They are thoracoplasties done with particular modalities, imposing, setting out case by case to suppress the infected pleural space. It is usually joined with a thoracotomy and it permits also the execution of other surgical intrathoracic manoeuvres such as decortications, treatment of fistulas, myoplasties. Situations such as chronic empyemas, without any solution before, have found a brilliant solution by the use of this operation.

Chronic Disease↗

[The effect of extrapleural thoracoplasty on the mechanical properties of lungs and ventilation indices in advanced fibrous-cavernous tuberculosis].

Basing on clinical data obtained on 42 patients, the authors prove the existence of changes in all the respiratory biomechanical parameters, primarily viscosity, in response to development of advanced fibrous-cavernous tuberculosis in the lungs. Disorders in the bronchopulmonary mechanics depend on the terms of collapsosurgical intervention and its efficacy. The viscosity-induced resistance to respiration results basically from inflammation of the tracheobronchial tree and bronchospasm. An increase in the bronchial resistance in the early postoperative period occurs both in effective and uneffective extrapleural thoracoplasty, while later on it is observed only after uneffective and corrective collapsosurgical interventions. Basic biomechanical parameters of respiration (total performance, extensibility, bronchial resistance) together with spirographic and clinicoroentgenological evidence can be of help in predicting the effect of the surgery itself. A positive response of collapsosurgical interventions on respiratory biomechanics can be judged from a persistent fall in total respiratory performance irrespective of surgical effectivity.

Humans↗

[A case of right postpneumonectomy empyema treated by open window thoracostomy, thoracoplasty, pedicled omental flap and musculocutaneous flaps].

A case of right postpneumonectomy empyema treated by open window thoracostomy, thoracoplasty, pedicled omental flap and musculocutaneous flaps is reported. After open window thoracostomy, pedicled omental flap and musculocutaneous flaps transplantation utilizing techniques used in plastic surgery were performed, and right postneumonctomy empyema was successfully treated. In this study, open window thoracostomy was effective against depuration of the empyema cavity and omental and musculocutaneous flaps against the infection control and plombage of the cavity. Furthermore, to maximize the effect of musculocutaneous flaps and to use them effectively, it is thought that techniques utilized in plastic surgery are effective and necessary.

Adenocarcinoma↗

Long-term changes in bone and cartilage after Ravitch's thoracoplasty: findings from multislice computed tomography with 3-dimensional reconstruction.

BACKGROUND/PURPOSE: The aim of the study was to evaluate the long-term changes in the bones, cartilage, and chest wall contour after a Ravitch's thoracoplasty (RTP) using multislice computed tomography with 3-dimensional reconstruction (3D-MSCT). METHODS: Between 1985 and 2000, 114 patients with pectus excavatum (PE) underwent RTP in our hospital; 3D-MSCT was performed in 36 patients 4 to 18 years after the initial operation. Twenty-four patients with PE with no surgical intervention were enrolled as a control group. RESULTS: Partial or complete calcification of the regenerated cartilage was found in 23 (64%) of the patients. Threadlike regenerated cartilage or the complete absence of some segment was seen in 14 cases (39%). Clubbing of the bony end was found in 23 cases (64%). Shortening of the gap between the rib end and the sternum (n = 17, 47%) and "constrict-in" of the ribs (n = 13, 36%) were common after RTP. In the control group, no significant bone or cartilage change occurred compared to the RTP group. CONCLUSIONS: Modern 3D-MSCT technology can clearly depict the cartilage and bone in patients with PE. More than 60% of the patients with PE showed significant long-term changes in the bone and cartilage after RTP. Further studies are warranted to evaluate the impact of these abnormal findings.

Adolescent↗