Chest-deformities: a proposal for a classification
Background In this article we assess the significance of classifying chest-deformities based on morphological findings in type-related treatment and its results. Data sources Recent publications on chest-deformities in children and youth were retrieved from PubMed and Medline and from our clinical a...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Willital, Günter H. [verfasserIn] Saxena, A. K. [verfasserIn] Schütze, U. [verfasserIn] Richter, W. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2011 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Pediatrics - Springer-Verlag, 2008, 7(2011), 2 vom: Mai, Seite 118-123 |
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| Übergeordnetes Werk: |
volume:7 ; year:2011 ; number:2 ; month:05 ; pages:118-123 |
| Links: |
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| DOI / URN: |
10.1007/s12519-011-0263-y |
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SPR02599106X |
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| 520 | |a Background In this article we assess the significance of classifying chest-deformities based on morphological findings in type-related treatment and its results. Data sources Recent publications on chest-deformities in children and youth were retrieved from PubMed and Medline and from our clinical and intraoperative findings. Results Chest-deformities are diagnosed by thoraxmeasurements using a flexible meter projected on a graph-paper by MR/CT investigations and color coded videorasterstereography. In addition an ultrasound guided mediastinal analysis is performed on the heart, the great vessels and mediastinal organs. These investigations could determine meticulously the morphology of the sternum, the sterno-costal segments and the costal arch, enabling to find different chest wall deformities, i.e., 11 different types. The clinical and surgical significance of such a classification can be shown by comparing postoperative results of non-classified chest-deformities with those of classified. Preoperatively non-classified chest-deformities often have postoperative asymmetric shapes, partial local recurrences, costal arch eversions and a platythorax. Such a classification can be used to analyze and predict socalled “secondary associated alterations” of the vertebral column or mediastinal organs. Conclusions Determining the specific type of a thorax deformity could be considered a type-related physiotherapy as conservative treatment or vacuum treatment and if surgery is indicated a type-related surgical correction can be performed. A type-related and adapted surgical correction can prevent subsequent mitral valve prolapse, recurrent infections, vertebral disturbances caused by kypho-scoliosis and increasing psychological irritation. Typing chest-deformities are an additional and essential help for the surgeon to perform specific surgical procedures: detorsion of the sternum, correction of the sterno-costal region, the costal arch bow and the kind of chest wall immobilization by metal struts. It can also compare the postoperative results more accurately in similar types of chest-deformities. | ||
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10.1007/s12519-011-0263-y doi (DE-627)SPR02599106X (SPR)s12519-011-0263-y-e DE-627 ger DE-627 rakwb eng Willital, Günter H. verfasserin aut Chest-deformities: a proposal for a classification 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background In this article we assess the significance of classifying chest-deformities based on morphological findings in type-related treatment and its results. Data sources Recent publications on chest-deformities in children and youth were retrieved from PubMed and Medline and from our clinical and intraoperative findings. Results Chest-deformities are diagnosed by thoraxmeasurements using a flexible meter projected on a graph-paper by MR/CT investigations and color coded videorasterstereography. In addition an ultrasound guided mediastinal analysis is performed on the heart, the great vessels and mediastinal organs. These investigations could determine meticulously the morphology of the sternum, the sterno-costal segments and the costal arch, enabling to find different chest wall deformities, i.e., 11 different types. The clinical and surgical significance of such a classification can be shown by comparing postoperative results of non-classified chest-deformities with those of classified. Preoperatively non-classified chest-deformities often have postoperative asymmetric shapes, partial local recurrences, costal arch eversions and a platythorax. Such a classification can be used to analyze and predict socalled “secondary associated alterations” of the vertebral column or mediastinal organs. Conclusions Determining the specific type of a thorax deformity could be considered a type-related physiotherapy as conservative treatment or vacuum treatment and if surgery is indicated a type-related surgical correction can be performed. A type-related and adapted surgical correction can prevent subsequent mitral valve prolapse, recurrent infections, vertebral disturbances caused by kypho-scoliosis and increasing psychological irritation. Typing chest-deformities are an additional and essential help for the surgeon to perform specific surgical procedures: detorsion of the sternum, correction of the sterno-costal region, the costal arch bow and the kind of chest wall immobilization by metal struts. It can also compare the postoperative results more accurately in similar types of chest-deformities. Saxena, A. K. verfasserin aut Schütze, U. verfasserin aut Richter, W. verfasserin aut Enthalten in World Journal of Pediatrics Springer-Verlag, 2008 7(2011), 2 vom: Mai, Seite 118-123 (DE-627)SPR02598876X nnns volume:7 year:2011 number:2 month:05 pages:118-123 https://dx.doi.org/10.1007/s12519-011-0263-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_21 GBV_ILN_31 GBV_ILN_40 GBV_ILN_61 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_66 GBV_ILN_69 GBV_ILN_92 GBV_ILN_135 GBV_ILN_181 GBV_ILN_192 GBV_ILN_211 GBV_ILN_252 AR 7 2011 2 05 118-123 |
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10.1007/s12519-011-0263-y doi (DE-627)SPR02599106X (SPR)s12519-011-0263-y-e DE-627 ger DE-627 rakwb eng Willital, Günter H. verfasserin aut Chest-deformities: a proposal for a classification 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background In this article we assess the significance of classifying chest-deformities based on morphological findings in type-related treatment and its results. Data sources Recent publications on chest-deformities in children and youth were retrieved from PubMed and Medline and from our clinical and intraoperative findings. Results Chest-deformities are diagnosed by thoraxmeasurements using a flexible meter projected on a graph-paper by MR/CT investigations and color coded videorasterstereography. In addition an ultrasound guided mediastinal analysis is performed on the heart, the great vessels and mediastinal organs. These investigations could determine meticulously the morphology of the sternum, the sterno-costal segments and the costal arch, enabling to find different chest wall deformities, i.e., 11 different types. The clinical and surgical significance of such a classification can be shown by comparing postoperative results of non-classified chest-deformities with those of classified. Preoperatively non-classified chest-deformities often have postoperative asymmetric shapes, partial local recurrences, costal arch eversions and a platythorax. Such a classification can be used to analyze and predict socalled “secondary associated alterations” of the vertebral column or mediastinal organs. Conclusions Determining the specific type of a thorax deformity could be considered a type-related physiotherapy as conservative treatment or vacuum treatment and if surgery is indicated a type-related surgical correction can be performed. A type-related and adapted surgical correction can prevent subsequent mitral valve prolapse, recurrent infections, vertebral disturbances caused by kypho-scoliosis and increasing psychological irritation. Typing chest-deformities are an additional and essential help for the surgeon to perform specific surgical procedures: detorsion of the sternum, correction of the sterno-costal region, the costal arch bow and the kind of chest wall immobilization by metal struts. It can also compare the postoperative results more accurately in similar types of chest-deformities. Saxena, A. K. verfasserin aut Schütze, U. verfasserin aut Richter, W. verfasserin aut Enthalten in World Journal of Pediatrics Springer-Verlag, 2008 7(2011), 2 vom: Mai, Seite 118-123 (DE-627)SPR02598876X nnns volume:7 year:2011 number:2 month:05 pages:118-123 https://dx.doi.org/10.1007/s12519-011-0263-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_21 GBV_ILN_31 GBV_ILN_40 GBV_ILN_61 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_66 GBV_ILN_69 GBV_ILN_92 GBV_ILN_135 GBV_ILN_181 GBV_ILN_192 GBV_ILN_211 GBV_ILN_252 AR 7 2011 2 05 118-123 |
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10.1007/s12519-011-0263-y doi (DE-627)SPR02599106X (SPR)s12519-011-0263-y-e DE-627 ger DE-627 rakwb eng Willital, Günter H. verfasserin aut Chest-deformities: a proposal for a classification 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background In this article we assess the significance of classifying chest-deformities based on morphological findings in type-related treatment and its results. Data sources Recent publications on chest-deformities in children and youth were retrieved from PubMed and Medline and from our clinical and intraoperative findings. Results Chest-deformities are diagnosed by thoraxmeasurements using a flexible meter projected on a graph-paper by MR/CT investigations and color coded videorasterstereography. In addition an ultrasound guided mediastinal analysis is performed on the heart, the great vessels and mediastinal organs. These investigations could determine meticulously the morphology of the sternum, the sterno-costal segments and the costal arch, enabling to find different chest wall deformities, i.e., 11 different types. The clinical and surgical significance of such a classification can be shown by comparing postoperative results of non-classified chest-deformities with those of classified. Preoperatively non-classified chest-deformities often have postoperative asymmetric shapes, partial local recurrences, costal arch eversions and a platythorax. Such a classification can be used to analyze and predict socalled “secondary associated alterations” of the vertebral column or mediastinal organs. Conclusions Determining the specific type of a thorax deformity could be considered a type-related physiotherapy as conservative treatment or vacuum treatment and if surgery is indicated a type-related surgical correction can be performed. A type-related and adapted surgical correction can prevent subsequent mitral valve prolapse, recurrent infections, vertebral disturbances caused by kypho-scoliosis and increasing psychological irritation. Typing chest-deformities are an additional and essential help for the surgeon to perform specific surgical procedures: detorsion of the sternum, correction of the sterno-costal region, the costal arch bow and the kind of chest wall immobilization by metal struts. It can also compare the postoperative results more accurately in similar types of chest-deformities. Saxena, A. K. verfasserin aut Schütze, U. verfasserin aut Richter, W. verfasserin aut Enthalten in World Journal of Pediatrics Springer-Verlag, 2008 7(2011), 2 vom: Mai, Seite 118-123 (DE-627)SPR02598876X nnns volume:7 year:2011 number:2 month:05 pages:118-123 https://dx.doi.org/10.1007/s12519-011-0263-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_21 GBV_ILN_31 GBV_ILN_40 GBV_ILN_61 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_66 GBV_ILN_69 GBV_ILN_92 GBV_ILN_135 GBV_ILN_181 GBV_ILN_192 GBV_ILN_211 GBV_ILN_252 AR 7 2011 2 05 118-123 |
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10.1007/s12519-011-0263-y doi (DE-627)SPR02599106X (SPR)s12519-011-0263-y-e DE-627 ger DE-627 rakwb eng Willital, Günter H. verfasserin aut Chest-deformities: a proposal for a classification 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background In this article we assess the significance of classifying chest-deformities based on morphological findings in type-related treatment and its results. Data sources Recent publications on chest-deformities in children and youth were retrieved from PubMed and Medline and from our clinical and intraoperative findings. Results Chest-deformities are diagnosed by thoraxmeasurements using a flexible meter projected on a graph-paper by MR/CT investigations and color coded videorasterstereography. In addition an ultrasound guided mediastinal analysis is performed on the heart, the great vessels and mediastinal organs. These investigations could determine meticulously the morphology of the sternum, the sterno-costal segments and the costal arch, enabling to find different chest wall deformities, i.e., 11 different types. The clinical and surgical significance of such a classification can be shown by comparing postoperative results of non-classified chest-deformities with those of classified. Preoperatively non-classified chest-deformities often have postoperative asymmetric shapes, partial local recurrences, costal arch eversions and a platythorax. Such a classification can be used to analyze and predict socalled “secondary associated alterations” of the vertebral column or mediastinal organs. Conclusions Determining the specific type of a thorax deformity could be considered a type-related physiotherapy as conservative treatment or vacuum treatment and if surgery is indicated a type-related surgical correction can be performed. A type-related and adapted surgical correction can prevent subsequent mitral valve prolapse, recurrent infections, vertebral disturbances caused by kypho-scoliosis and increasing psychological irritation. Typing chest-deformities are an additional and essential help for the surgeon to perform specific surgical procedures: detorsion of the sternum, correction of the sterno-costal region, the costal arch bow and the kind of chest wall immobilization by metal struts. It can also compare the postoperative results more accurately in similar types of chest-deformities. Saxena, A. K. verfasserin aut Schütze, U. verfasserin aut Richter, W. verfasserin aut Enthalten in World Journal of Pediatrics Springer-Verlag, 2008 7(2011), 2 vom: Mai, Seite 118-123 (DE-627)SPR02598876X nnns volume:7 year:2011 number:2 month:05 pages:118-123 https://dx.doi.org/10.1007/s12519-011-0263-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_21 GBV_ILN_31 GBV_ILN_40 GBV_ILN_61 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_66 GBV_ILN_69 GBV_ILN_92 GBV_ILN_135 GBV_ILN_181 GBV_ILN_192 GBV_ILN_211 GBV_ILN_252 AR 7 2011 2 05 118-123 |
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10.1007/s12519-011-0263-y doi (DE-627)SPR02599106X (SPR)s12519-011-0263-y-e DE-627 ger DE-627 rakwb eng Willital, Günter H. verfasserin aut Chest-deformities: a proposal for a classification 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background In this article we assess the significance of classifying chest-deformities based on morphological findings in type-related treatment and its results. Data sources Recent publications on chest-deformities in children and youth were retrieved from PubMed and Medline and from our clinical and intraoperative findings. Results Chest-deformities are diagnosed by thoraxmeasurements using a flexible meter projected on a graph-paper by MR/CT investigations and color coded videorasterstereography. In addition an ultrasound guided mediastinal analysis is performed on the heart, the great vessels and mediastinal organs. These investigations could determine meticulously the morphology of the sternum, the sterno-costal segments and the costal arch, enabling to find different chest wall deformities, i.e., 11 different types. The clinical and surgical significance of such a classification can be shown by comparing postoperative results of non-classified chest-deformities with those of classified. Preoperatively non-classified chest-deformities often have postoperative asymmetric shapes, partial local recurrences, costal arch eversions and a platythorax. Such a classification can be used to analyze and predict socalled “secondary associated alterations” of the vertebral column or mediastinal organs. Conclusions Determining the specific type of a thorax deformity could be considered a type-related physiotherapy as conservative treatment or vacuum treatment and if surgery is indicated a type-related surgical correction can be performed. A type-related and adapted surgical correction can prevent subsequent mitral valve prolapse, recurrent infections, vertebral disturbances caused by kypho-scoliosis and increasing psychological irritation. Typing chest-deformities are an additional and essential help for the surgeon to perform specific surgical procedures: detorsion of the sternum, correction of the sterno-costal region, the costal arch bow and the kind of chest wall immobilization by metal struts. It can also compare the postoperative results more accurately in similar types of chest-deformities. Saxena, A. K. verfasserin aut Schütze, U. verfasserin aut Richter, W. verfasserin aut Enthalten in World Journal of Pediatrics Springer-Verlag, 2008 7(2011), 2 vom: Mai, Seite 118-123 (DE-627)SPR02598876X nnns volume:7 year:2011 number:2 month:05 pages:118-123 https://dx.doi.org/10.1007/s12519-011-0263-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_21 GBV_ILN_31 GBV_ILN_40 GBV_ILN_61 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_66 GBV_ILN_69 GBV_ILN_92 GBV_ILN_135 GBV_ILN_181 GBV_ILN_192 GBV_ILN_211 GBV_ILN_252 AR 7 2011 2 05 118-123 |
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Data sources Recent publications on chest-deformities in children and youth were retrieved from PubMed and Medline and from our clinical and intraoperative findings. Results Chest-deformities are diagnosed by thoraxmeasurements using a flexible meter projected on a graph-paper by MR/CT investigations and color coded videorasterstereography. In addition an ultrasound guided mediastinal analysis is performed on the heart, the great vessels and mediastinal organs. These investigations could determine meticulously the morphology of the sternum, the sterno-costal segments and the costal arch, enabling to find different chest wall deformities, i.e., 11 different types. The clinical and surgical significance of such a classification can be shown by comparing postoperative results of non-classified chest-deformities with those of classified. Preoperatively non-classified chest-deformities often have postoperative asymmetric shapes, partial local recurrences, costal arch eversions and a platythorax. Such a classification can be used to analyze and predict socalled “secondary associated alterations” of the vertebral column or mediastinal organs. Conclusions Determining the specific type of a thorax deformity could be considered a type-related physiotherapy as conservative treatment or vacuum treatment and if surgery is indicated a type-related surgical correction can be performed. A type-related and adapted surgical correction can prevent subsequent mitral valve prolapse, recurrent infections, vertebral disturbances caused by kypho-scoliosis and increasing psychological irritation. 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Background In this article we assess the significance of classifying chest-deformities based on morphological findings in type-related treatment and its results. Data sources Recent publications on chest-deformities in children and youth were retrieved from PubMed and Medline and from our clinical and intraoperative findings. Results Chest-deformities are diagnosed by thoraxmeasurements using a flexible meter projected on a graph-paper by MR/CT investigations and color coded videorasterstereography. In addition an ultrasound guided mediastinal analysis is performed on the heart, the great vessels and mediastinal organs. These investigations could determine meticulously the morphology of the sternum, the sterno-costal segments and the costal arch, enabling to find different chest wall deformities, i.e., 11 different types. The clinical and surgical significance of such a classification can be shown by comparing postoperative results of non-classified chest-deformities with those of classified. Preoperatively non-classified chest-deformities often have postoperative asymmetric shapes, partial local recurrences, costal arch eversions and a platythorax. Such a classification can be used to analyze and predict socalled “secondary associated alterations” of the vertebral column or mediastinal organs. Conclusions Determining the specific type of a thorax deformity could be considered a type-related physiotherapy as conservative treatment or vacuum treatment and if surgery is indicated a type-related surgical correction can be performed. A type-related and adapted surgical correction can prevent subsequent mitral valve prolapse, recurrent infections, vertebral disturbances caused by kypho-scoliosis and increasing psychological irritation. Typing chest-deformities are an additional and essential help for the surgeon to perform specific surgical procedures: detorsion of the sternum, correction of the sterno-costal region, the costal arch bow and the kind of chest wall immobilization by metal struts. It can also compare the postoperative results more accurately in similar types of chest-deformities. |
| abstractGer |
Background In this article we assess the significance of classifying chest-deformities based on morphological findings in type-related treatment and its results. Data sources Recent publications on chest-deformities in children and youth were retrieved from PubMed and Medline and from our clinical and intraoperative findings. Results Chest-deformities are diagnosed by thoraxmeasurements using a flexible meter projected on a graph-paper by MR/CT investigations and color coded videorasterstereography. In addition an ultrasound guided mediastinal analysis is performed on the heart, the great vessels and mediastinal organs. These investigations could determine meticulously the morphology of the sternum, the sterno-costal segments and the costal arch, enabling to find different chest wall deformities, i.e., 11 different types. The clinical and surgical significance of such a classification can be shown by comparing postoperative results of non-classified chest-deformities with those of classified. Preoperatively non-classified chest-deformities often have postoperative asymmetric shapes, partial local recurrences, costal arch eversions and a platythorax. Such a classification can be used to analyze and predict socalled “secondary associated alterations” of the vertebral column or mediastinal organs. Conclusions Determining the specific type of a thorax deformity could be considered a type-related physiotherapy as conservative treatment or vacuum treatment and if surgery is indicated a type-related surgical correction can be performed. A type-related and adapted surgical correction can prevent subsequent mitral valve prolapse, recurrent infections, vertebral disturbances caused by kypho-scoliosis and increasing psychological irritation. Typing chest-deformities are an additional and essential help for the surgeon to perform specific surgical procedures: detorsion of the sternum, correction of the sterno-costal region, the costal arch bow and the kind of chest wall immobilization by metal struts. It can also compare the postoperative results more accurately in similar types of chest-deformities. |
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Background In this article we assess the significance of classifying chest-deformities based on morphological findings in type-related treatment and its results. Data sources Recent publications on chest-deformities in children and youth were retrieved from PubMed and Medline and from our clinical and intraoperative findings. Results Chest-deformities are diagnosed by thoraxmeasurements using a flexible meter projected on a graph-paper by MR/CT investigations and color coded videorasterstereography. In addition an ultrasound guided mediastinal analysis is performed on the heart, the great vessels and mediastinal organs. These investigations could determine meticulously the morphology of the sternum, the sterno-costal segments and the costal arch, enabling to find different chest wall deformities, i.e., 11 different types. The clinical and surgical significance of such a classification can be shown by comparing postoperative results of non-classified chest-deformities with those of classified. Preoperatively non-classified chest-deformities often have postoperative asymmetric shapes, partial local recurrences, costal arch eversions and a platythorax. Such a classification can be used to analyze and predict socalled “secondary associated alterations” of the vertebral column or mediastinal organs. Conclusions Determining the specific type of a thorax deformity could be considered a type-related physiotherapy as conservative treatment or vacuum treatment and if surgery is indicated a type-related surgical correction can be performed. A type-related and adapted surgical correction can prevent subsequent mitral valve prolapse, recurrent infections, vertebral disturbances caused by kypho-scoliosis and increasing psychological irritation. Typing chest-deformities are an additional and essential help for the surgeon to perform specific surgical procedures: detorsion of the sternum, correction of the sterno-costal region, the costal arch bow and the kind of chest wall immobilization by metal struts. It can also compare the postoperative results more accurately in similar types of chest-deformities. |
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