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2021, vol. 78, br. 3, str. 304-309
Kako izvršiti procenu deformiteta grudnog koša kod dece sa pectus-om excavatum-om - procena podudarnosti metoda
aKlinički centar Srbije, Klinika za grudnu hirurgiju, Beograd
bUniverzitet u Beogradu, Medicinski fakultet, Univerzitetska dečija klinika
cUniverzitet u Beogradu, Medicinski fakultet, KBC 'Bežanijska kosa'
dClinic for Thoracic Surgery "ViDia Kliniken", Karlsruhe, Germany

e-adresakostmarko@gmail.com
Sažetak
Uvod/Cilj. Pectus excavatum (PE) je najčešći deformitet frontalnog aspekta zida grudnog koša kod dece. Posebnu dilemu predstavlja stepen deformiteta koji treba da bude podvrgnut hirurškom lečenju. Cilj rada bio je da se uporedi više morfoloških metoda procene stepena deformiteta i utvrdi podudarnost između njih, kao i povezanost između funkcionalnih i morfoloških abnormalnosti na ehokardiografiji. Metode. Ispitivanjem je obuhvaćeno 35 bolesnika sa PE, uzrasta od 7 do 15 godina. Kod svih bolesnika je sprovedena neinvazivna procena deformiteta grudnog koša fotografskom metodom (surogat kliničkog pregleda), nativnom radiografijom (RTG) i kompjuterizovanom tomografijom (CT), kao i ehokardiografskim pregledom. Rezultati. U ispitanom uzorku češće je bio zastupljen muški pol (67,5%), kao i deca sa Halerovim indeksom (HI) > 3,5 (86,7% dece). U cilju procene podudarnosti metoda, utvrđena je značajna korelacija indeksa aficiranog segmenta sternuma (ASt) i ukupne dužine sternum LSt (ASt/LSt) određivanog na fotografiji sa onim koji je određivan na CT snimku grudnog koša (p = 0.001). Pored toga, pokazana je i korelacija između HI određenog putem RTG i CT snimka (p = 0.012). Suprotno navedenom, uprkos visokoj učestalosti ehokardiografskih abnormalnosti (69%) one nisu bile u korelaciji sa stepenom izraženosti morfoloških deformiteta zida grudnog koša. Zaključak. Detaljnim kliničkim pregledom i fotografskom metodom procene, zajedno sa RTG metodom, može se utvrditi težina deformiteta sa visokom podudarnošću u odnosu na CT grudnog koša. Na ovaj način, moguće je decu sa PE koja nisu kandidati za hirurško lečenje poštedeti od ponavljanja CT pregleda grudnog koša koji se sprovode u cilju praćenja razvoja deformiteta tokom rasta deteta. Ehokardiografska procena ostaje neophodni i sastavni deo procene stanja dece sa PE.
Reference
Abid, I., Ewais, M.M., Marranca, J., Jaroszewski, D.E. (2017) Pectus excavatum: A review of diagnosis and current treatment options. Journal of the American Osteopathic Association, 117(2): 106-13
Blanco, F.C., Elliott, S.T., Sandler, A.D. (2011) Management of congenital chest wall deformities. Seminars in Plastic Surgery, 25(01): 107-116
Cartoski, M.J., Nuss, D., Goretsky, M.J., Proud, V.K., Croitoru, D.P., Gustin, T., Mitchell, K., Vasser, E., Kelly, R.E. (2006) Classification of the dysmorphology of pectus excavatum. Journal of Pediatric Surgery, 41(9): 1573-1581
Colombani, P.M. (2009) Preoperative assessment of chest wall deformities. Seminars in Thoracic and Cardiovascular Surgery, 21(1): 58-63
Daunt, S.W., Cohen, J.H., Miller, S.F. (2004) Age-related normal ranges for the Haller index in children. Pediatric Radiology, 34(4): 326-330
Davis, J. T., Weinstein, S. (2004) Repair of the pectus deformity: Results of the Ravitch approach in the current era. Annals of Thoracic Surgery, 78(2): 421-426
Emil, S. (2018) Current options for the treatment of pectus carinatum: When to brace and when to operate?. Eur J Pediatr Surg, 28(4): 347-54
Fokin, A.A., Steuerwald, N.M., Ahrens, W.A., Allen, K.E. (2009) Anatomical, histologic, and genetic characteristics of congenital chest wall deformities. Seminars in Thoracic and Cardiovascular Surgery, 21(1): 44-57
Fonkalsrud, E.W. (2003) Current management of pectus excavatum. World Journal of Surgery, 27(5): 502-508
Haller, J. A.J., Colombani, P.M., Humphries, C. T., Azizkhan, R.G., Loughlin, G.M. (1996) Chest wall constriction after too extensive and too early operations for pectus excavatum. Annals of Thoracic Surgery, 61(6): 1618-24; discussion 1625
Jaroszewski, D.E., Fonkalsrud, E.W. (2007) Repair of pectus chest deformities in 320 adult patients: 21 year experience. Annals of Thoracic Surgery, 84(2): 429-433
Kelly, R.E. J. (2008) Pectus excavatum: Historical background, clinical picture, preoperative evaluation and criteria for operation. Seminars in Pediatric Surgery, 17(3): 181-193
Kilda, A., Basevicius, A., Barauskas, V., Lukosevicius, S., Ragaisis, D. (2007) Radiological assessment of children with pectus excavatum. Indian Journal of Pediatrics, 74(2): 143-147
Kim, D.H., Hwang, J.J., Lee, M.K., Lee, D.Y., Paik, H.C. (2005) Analysis of the Nuss procedure for pectus excavatum in different age groups. Annals of Thoracic Surgery, 80(3): 1073-1077
Lawson, M. L., Cash, T.F., Akers, R., Vasser, E., Burke, B., Tabangin, M., Welch, C., Croitoru, D.P., Goretsky, M.J., Nuss, D., Kelly, R.E. (2003) A pilot study of the impact of surgical repair on disease-specific quality of life among patients with pectus excavatum. Journal of Pediatric Surgery, 38(6): 916-918
Nowak, H. (1936) Die erbliche Trichterbrust. DMW - Deutsche Medizinische Wochenschrift, 62(49): 2003-2004 (German)
Nuss, D., Kuhn, M. (2007) Our approach: Minimally invasive surgical repair of pectus excavatum. Contemp Surg, 63: 444-51
Nuss, D., Croitoru, D.P., Kelly, R.E. (2005) Congenital chest wall deformities. u: Ashcraft K.W; Holcomp G.W. 3rd; Murphy J.P. [ur.] Pediatric surgery, Philadelphia, PA: Elsevier - Saunders, p. 245-63
Park, J.M., Varma, S.K. (1990) Pectus excavatum in children: Diagnostic significance for mitral valve prolapse. Indian Journal of Pediatrics, 57(2): 219-222
Pilegaard, H.K., Licht, P.B. (2008) Routine use of minimally invasive surgery for pectus excavatum in adults. Annals of Thoracic Surgery, 86(3): 952-956
Potts, W.J. (1959) The surgeon and the child. Philadelphia, PA: W.B. Saunders
Sabiston, J.H. J. (1997) Congenital deformities of the chest wall. u: Sabiston J.H. [ur.] Textbook of surgery, Philadelphia: WB Sauders Co, p. 1888-96
Saint-Mezard, G., Duret, J.C., Chanudet, X., Larrue, J., Bonnet, J., Bricaud, H. (1986) Mitral valve prolapse and pectus excavatum: Fortuitous association or syndrome?. Presse Med, 15(9): 439
Salamanca, A., Girona, A., Padilla, M.C., Sabatel, R.M., Gonzales-Gomez, F. (1992) Prenatal diagnosis of pectus excavatum and its relation to Down's syndrome. Ultrasound in Obstetrics and Gynecology, 2(6): 446-447
Shamberger, R.C. (1996) Congenital chest wall deformities. Current Problems in Surgery, 33(6): 469-542
Shamberger, R.C., Welch, K.J., Sanders, S.P. (1987) Mitral valve prolapse associated with pectus excavatum. Journal of Pediatrics, 111(3): 404-407
Warth, D.C., King, M.E., Cohen, J.M., Tesoriero, V.L., Marcus, E., Weyman, A.E. (1985) Prevalence of mitral valve prolapse in normal children. Journal of the American College of Cardiology, 5(5): 1173-1177
Yoshida, A., Uemura, S., Yamamoto, M., Nouso, H., Kuyama, H., Muta, Y. (2013) Correlation of asymmetric chest wall deformity and growth in patients with pectus excavatum. Journal of Pediatric Surgery, 48(4): 771-775
 

O članku

jezik rada: engleski
vrsta rada: izvorni naučni članak
DOI: 10.2298/VSP190430071K
primljen: 30.04.2019.
prihvaćen: 29.05.2019.
objavljen onlajn: 15.06.2019.
objavljen u SCIndeksu: 31.03.2021.
metod recenzije: dvostruko anoniman
Creative Commons License 4.0

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