Chest Wall Deformities and Corrective Procedures
This book outlines the management, treatment and consequences of chest wall deformities. Incorporating all the possible origin of these deformities – congenital or acquired which arise either post-traumatically or after surgery on the lungs – it also desc
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Chest Wall Deformities and Corrective Procedures
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Chest Wall Deformities and Corrective Procedures
Shyam K. Kolvekar • Hans K. Pilegaard Editors
Chest Wall Deformities and Corrective Procedures
Editors Shyam K. Kolvekar Consultant Cardiothoracic Surgeon The Heart Hospital UCLH London UK
Hans K. Pilegaard Associate. Professor Department of Cardiothoracic and Vascular Surgery Department of Clinical Medicine Aarhus University Hospital, Denmark Aarhus Denmark
ISBN 978-3-319-23966-8 ISBN 978-3-319-23968-2 DOI 10.1007/978-3-319-23968-2
(eBook)
Library of Congress Control Number: 2015957217 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)
Preface
Chest wall deformities can be categorized as either congenital or acquired. Acquired deformities arise post-traumatically after surgery for lung cancer or a pneumonectomy. Some deformities are associated with spinal malformations, for example kyphosis, it can also be part and parcel of other defects such as Marfan’s syndrome. The most common congenital defect is pectus excavatum; this can be severe in some cases and occasionally leads to minimal depression. Symptoms are not always visible in every case. Most severe cases present intolerance to exercise, pain and fatigue. Psychological impact is seen amongst patients due to cosmetic appearance, and this can affect day-to-day working and cause distress socially: finding problems with friendship, relationships and sometimes can affect self-esteem and confidence. Treatment options were invasive initially, using skeletal correction techniques. Now, more minimally invasive procedures are carried out to return the sternum to normal position. Pectus excavatum is described as a congenital deformity of the anterior chest wall, caused by excessiv
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