標題: Analysis of changes to the anterior chest wall after the Nuss procedure-an objective measurement of pectus excavatum
作者: Chang, Pei-Yeh
Chang, Chaur-Hsiang
Lai, Jin-Yao
Chen, Jeng-Chang
Perng, Der-Baau
Zeng, Qi
工業工程與管理學系
Department of Industrial Engineering and Management
關鍵字: Pectus excavatum;Nuss procedure;Anthropometry;Thoracic wall;Surgical outcome
公開日期: 1-Dec-2009
摘要: Introduction: We report a noninvasive method for recording the deviation of the anterior chest wall (ACW) in patients with pectus excavatum before and after the insertion and removal of a Nuss bar. Patients and Method: All patients undergoing the Nuss procedure at our institutions between June 2008 and February 2009 were enrolled in this study. A thermal plastic strip was used to cast the ACW at the skin level along the area corresponding to the tract of the inserted bar. The height of the ACW was defined as the perpendicular length from the xiphoid process to the transverse line drawn between the 2 midaxillary points. Results: Bar insertion caused a significant increase in ACW height and width. Bar removal reduced the corrective effects in terms of a significant decrease in ACW height; at the same time, an increase in ACW width was noted. Conclusion: Feature extraction and analyses of permanent contour casts of the ACW help to understand immediate changes in the ACW after the Nuss procedure and may assist in the design of the bar at insertion. The Nuss bar in situ helped to maintain cosmetic benefits to the ACW. (C) 2009 Elsevier Inc. All rights reserved.
URI: http://dx.doi.org/10.1016/j.jpedsurg.2009.07.053
http://hdl.handle.net/11536/27321
ISSN: 0022-3468
DOI: 10.1016/j.jpedsurg.2009.07.053
期刊: JOURNAL OF PEDIATRIC SURGERY
Volume: 44
Issue: 12
起始頁: 2291
結束頁: 2295
Appears in Collections:Conferences Paper


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