초록접수 현황
| 19F-001 | 포스터 발표 |
Changes of Costoclavicular Space after Nuss Procedure for Pectus Excavatum
Eun Young Rha¹, Jin Yong Jeong², Do Yeon Kim², Jong Hui Suh²
¹Department of Plastic Surgery, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea, ²Department of Thoracic and Cardiovascular Surgery, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
Purpose : Thoracic outlet syndrome, which occurs due to compression of the neurovascular bundle, has been recently reported after Nuss procedure for pectus excavatum. To determine the cause of neurological symptoms, we analyzed the postoperative changes of the costoclavicular space after Nuss procedure. In addition, the differences of the costoclavicular spaces among variables by defect type, number of bars, and patient age were investigated.
Methods : We performed a retrospective review of 161 patients who had undergone Nuss procedure for pectus excavatum between July 2011 and July 2018. The costoclavicular space was measured as the shortest distance between the first rib and the clavicle on a sagital view of the 3D chest CT. The Wilcoxon signed-rank test was used to compare differences between preoperative and postoperative parameters. Kruskal-Wallis tests were performed to compare differences of the costoclavicular spaces among groups by type of pectus excavatum, number of inserted bars, and patient age.
Results : Of the 161 patients (131 men, 30 women), 75 had symmetric and 86 had asymmetric defects. The postoperative shortest distances were decreased than their preoperative values on both sides (differences of shortest distance: left, 0.64, p<0.0001; right, 0.11, p=0.362). There were no significant differences in variables among groups by defect type, number of bars and patient age.
Conclusion : Narrowing of costoclavicular space was observed in both sides (especially in left side) following Nuss procedure for pectus excavatum. Further research will be necessary to determine the relationship between these observations and neurological symptoms of thoracic outlet syndrome after Nuss procedure.
Methods : We performed a retrospective review of 161 patients who had undergone Nuss procedure for pectus excavatum between July 2011 and July 2018. The costoclavicular space was measured as the shortest distance between the first rib and the clavicle on a sagital view of the 3D chest CT. The Wilcoxon signed-rank test was used to compare differences between preoperative and postoperative parameters. Kruskal-Wallis tests were performed to compare differences of the costoclavicular spaces among groups by type of pectus excavatum, number of inserted bars, and patient age.
Results : Of the 161 patients (131 men, 30 women), 75 had symmetric and 86 had asymmetric defects. The postoperative shortest distances were decreased than their preoperative values on both sides (differences of shortest distance: left, 0.64, p<0.0001; right, 0.11, p=0.362). There were no significant differences in variables among groups by defect type, number of bars and patient age.
Conclusion : Narrowing of costoclavicular space was observed in both sides (especially in left side) following Nuss procedure for pectus excavatum. Further research will be necessary to determine the relationship between these observations and neurological symptoms of thoracic outlet syndrome after Nuss procedure.
책임저자: Jin Yong Jeong
Department of Thoracic and Cardiovascular Surgery, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
발표자: Jin Yong Jeong, E-mail : jeong74@catholic.ac.kr