139. Overview: Benign Disorders of Chest Wall
140 .Primary Repair of Pectus Excavatum
139. Overview: Benign Disorders of Chest Wall
p 1120 benign disorder of skeletal and m chest wall ,
congenital anormally
group of compressive disorder- thoracic outlet syndrome , thoracic sympathectomy for hyperhidrosis , ซึ่งเป็น autonomic disorder involve symp n chain, และ mx chest wall infection
Chest wall deformities
1. pectus excavatum
2. pectus carinatum
3. Poland syndrome
4 Sternal defects
5. miscellenous antr chest wall defect
1. pectus excavatum – funnel chest , congenital deformity of postr depression of middle to infr portion of sternum , postr curvature asso costal cartilage
manubrium and 1st , 2nd rib normal
severity of depress varies , usually asym c deviation to right side
Shamberger บอกว่า 86% สามารถ Dx ได้ตั้งแต่ 1st wk
แต่ outgrow deformity มีได้
sternum depress อาจจะเพิ่มระหว่าง rapid growth
1/300 – 1/1000 live births
male มากกว่า girld 3 times
etio ยังไม่รู้ , แต่มี intrauterine pressure, rickets , abn of diaphragm, รวมถึง congenital diaphragmatic hernia , diaphragmatic agensis
35% มี family history
อาจจะพบ asso – scoliosis , kyphosis ,
