Breast cells without pathology. Effectively right to correct the deformation of the breast.

causes of deformation breast cancer

Breastfeeding treatment is even more common in practice. As a rule, ailment is given to trap through a congenital pathology, before - pridbanoi.
For example, the cause can be caused by injuries or blows to the breast tissue, as well as the internal uterine genetic damage.

see vicriven

Breastfeeding can be funnel-like. This kind of deformation is most frequent. The sternum is pressed into the middle and a funnel is established, and the ribs of the cartilage form the stones of death. At the connection with such an anomaly, the function of the ridge is often disrupted and the chest cell expands. The manifestation of the cynic through the improper development of the abdominal membrane and cartilaginous ribs. It is given to restore the internal organisms, while significantly destroying the normal robot. With a wink, we will turn more and more and produce up to serious heritage... The first type of vykrivlennya thoracic clitini - kevidnymi, with the ribs freely protrude forward. Given pathology more often nabutov. I want a keeled vikrivennya and less health of the internal organisms, all the same is infused into the health.

manifest symptoms

Viciousness of the breast cell is rotated visually, it is not a matter of pity. The ribs are set in a few places, making a fossa, which can be lost when inhaled. Dihati is more important, there are problems with the heart-vascular system, the ridge stop deforms.

Breastfeeding: lіkuvannya

For small children, in some pathologies of the genus, doctors recognize a special treatment. As a rule, their deformation is violated behind the additional vacuum. At the children of the elder Vik, call up vicoristovuyt surgical involvement... For the whole need for more information internal organs, SCHOB NADALI NOT VINIKLO unfailing heritage... Alle, there are problems, if the pathology can be corrected without surgery.

Breastfeeding: Right

Tse duzhe simple busyness, vikonannya which do not allow vikrivlennya to go into a neglected form. For a child їх vikonannya is the best way to unify operations. Viconuvati їkh slіd lying on a hard surface.

1. It is necessary to lie on the back and on the ribs of the twisting area of ​​the terry towel. Perebuvati in this position for no less than one year. Yaksho winikayut more views, Then you can break the perechinok for ten hilin. Zagalnaya triviality is rightly guilty of folding a year, you will be able to work it out for two days.
2. The friend to the right - waving his hands, showing himself lying on his back. Dumbbells are guilty in the hands. If the shape is important, then before the back it is also necessary to twist the roller from the terry towel.

Such right is necessary to be observed until the visible results are achieved. In front of you, go to enjoy yourself with a lycar. It is also recommended to take a busy time to join the pool and physiotherapy room. Remember: Chim is a young body, it is more efficient to correct defects.

• chronic obstructive incapacitation of legends;
• anomalies in the development of the skeleton;
• recession and genetic syndromes;
• cyst tuberculosis;
• rachit, kyphosis, scoliosis;
• injuries, broken ribs;
• asthma;
• congenital anomalies;
• Infections, transferred to childish.

Deformation of the ribs can also be associated with injuries. Most often it develops when the integrity of the sternum or the handle is damaged. For grown-ups, yak, as a rule, vimagaє prompt engagement.

Deformation of the ribs in the child

Closely 4% of children suffer from recurrent or near deformities of the ribs. Likuvannya is more beautiful to spend in the whole trip, and there will be a chance on the outside of the ailment. Congenital pathologies are diagnosed through genetic schlichnosti or high-grade exo- and endogenous factors. Adding deformation of the ribs in a child is a history of injuries, or to serve as accelerated inflammations or infections, which are hostile to the cyst tissue during the formation of the skeleton.

Show deformation of the ribs

The problem is to get involved in a more serious way. callous viglyad, So and on the self-esteem of the sick. Among the main manifestations of deformation of the ribs are called:

• The name of the winter. Funnel-like pathology of wiklikal death in the lower or middle zone of the breasts. Keel-like deformity is characterized by one type of deformity.
• Change of empty breast tissue. Tse in its own heart to bring up to the reduction of the ridge and the deterioration of blood circulation.
• Periodic retardation of the ribs, which occur when inhaled. It can be the cause of a dysfunctional lack.
• rendered in physical development at children. Babies, those who are susceptible to deformity of the ribs, before colds, Vegetative rozladiv, shvidko vtomlyuyutsya.
• Destruction of dichal functions. There is a deformation of the upper or middle form of the breast cell.

In order to be smart, like to fit in with the problem, to turn to a qualified drug for help.

Piece deformation of ribs

The reasons for the near deformities of the thoracic clitini are invisible є the ridge becomes ill or injured. Pathology can also develop on aphids. mental systems... However, they see and piece deformation of the ribs from the corset, bandages or belts. It is not a secret that such an attachment is not so easy to become stagnant for the revitalization of the ridge, as well as for the renewal of operations, fractures. Їх it is not correct to make a victorian until it deforms the ribs.

The deformation of the breast plate is likely to grow in succession to the reduction of the ridge. In some cases, the phenomenon is also the result of the deterioration of the integrity of the ridge. As a result, the wickedness of the wickedness is the destruction of the normal robots of all organ systems. Through deformations, take advantage of the new options on the legend, heart and soul. The statics and the shape of the sternum are increasing ...

Symptoms of leyko-like abnormal keeled deformity of the thoracic clitine

The viciousness of the ridge of the genus is even more frequent. The skin of them, in its own way, negatively infuses the body. Tse takі ailments yak kіphosis, scoliosis, etc.

Deformity symptoms:

we see lumps on the back;

vikrivennya і sternum;

wrong stance.

Symptoms of congenital deformity of the thorax of the lyke-like form

In children of a young age, the western side of the breast is not very bright. Vono get better with inhalation (inhalation paradox). Years later, in the process of the growth of the child, the deformation grows, the edge of the costal arches is more likely to move forward. At the connection with the broken functions of the legends and the heart of the sickness, the children were sick to the point of colds.

In children of the school age, the symptoms become fixed, the depth of the funnel grows to 7-8 cm, the age of the ridge becomes more pronounced (breast disease, scoliosis). Dical excursions of the breast cells change 3-4 times in proportion to the norm (4-7 cm). At the junction of the cysts, there are changes in the deterioration of the function of the dichotomous and heart-vascular system.

Signs of congenital deformity of the thorax of the keeled shape

Keel-shaped breasts ("chicken breast" - pectus carinatum) - occasionally deformity of the breast bone, which is characterized by anterior sternum and ribs. To meet with children of 3-5 years old age. The whole type of deformation of the breast cage is sometimes very difficult to damage the function of the legends and the heart.

A similar type of wadi development is associated with genetic anomalies, which negatively infuses onto tissue differentiation during the period of fetal development. As a result of the diagnosis, dysplasia of the breast tissue and anomalies of the buds and diaphragms.

In patients with keeled congenital deformity, the anterior part of the diaphragm is visible, and in children, which are attached to the VII-VIII ribs, are hypertrophied. It is necessary to produce until the retraction of the bachelorette's breasts and the brisket in advance, to reduce the scaling of the breasts. The winters will progress. As a result of a stepwise build-up of the internal organs, which leads to the destruction of the function of the legends and the heart-vascular system.

Symptoms of the early stages of deformity of the breast cancer

To determine the degree of deformity according to roentgenograms in a normal projection, according to computer tomograms, it should be the smallest one between the posterior surface of the sternum and the anterior surface of the ridges. Targeting, renounced at the time of the newest appearance for the best, serve as a criterion for the designation of the degree of deformation of the breast plate.

• The value 0.7 is more characteristic of the 1st stage,
• 0.7-0.5 - II,
• less than 0.5 - III step.

Lіkuvannya by using methods of deformation of the breast tissue

Yak lіkuvati zvoryuvannya, virіshuє orthopedist, also tse to finish the fold. The meta of deformation detection is the ability to prevent the progress of the operation and by ourselves to uniquely unify the operation in the fake. The vypryamlyannya ridge and breast cells take in intensive sports, physical culture for a demonstration of the drug, an active way of life. Often in the presence of deformity of the breast tissue additional help lykuvalny massageі registration. For even more important ailments, the Mayzha is guilty of wearing a corset for an entire hour. if conservatively deformation of the breast tissue does not give the results required by the operation.

Do not indulge in self-incidents of this illness - you can waste an expensive hour and eliminate the accelerated illness. The lock of a successful result is the complexity of the treatment.

Traditional methods of therapy for deformity of the breast

conservative methods lykuvannya (exercise therapy, massage and in.) with congenital deformity of the breast tissue is ineffective. Quickly correcting the cosmetic defect, improving the function of the lesions and the heart-vascular system, and insignificant deformities, which are not superimposed on the damaged cardiorespiratory function, can be unnecessary for the spinal operation.

With middle and important forms of funnel-like deformity, prompt treatment is shown. Optimal for operations є 6-7 days old child. There are many ways of operative treatment of breast cells, skin protection from them to be achieved up to 40-50%. They are drastically involved in directing the swelling of the empty breast. For mobilization of the sternocostal complex behind the sternum, insert a special plate (rosette) from stainless steel and fix it to the IV or V rib from the skin side. The price can be seen in 6 minutes or less.

In the last few days, in case of congenital deformity of patients for the sternum, a magnetic plate is implanted. Call on the special corset to install another magnet, such as during the singing hour the retrosternal magnetic plate is pulled out anteriorly and by itself gradually correcting the deformation of the breast plate.

Folk methods for deformation of the breast tissue

Adjust and mix 100 g of American agave leaf, 50 g of internal unsalted pork lard, 3 tbsp. a leaf of chestnut leaves, 50 ml of camphor oil, 30 ml of purified turpentine and 200 ml of a 40-45 ° burner. Insist everything for 9 days, every day, in a dark place. Then I am ready to apply the ointment with a thin ball on the black cotton and apply it until the painful deformation of the breast tissue is painful. Yaksho pektima, znyati, and in a dozen hour I will knock again.

Pour 100 ml of 40-45 ° burners into a cup, break in 50 g each of hot powder and camphor, and then whip 100 g of white egg whites, and then offend the warehouse, mix it until you become one-sided mass. I’m preparing the ointment in the evening before going to bed, rub it in, not dry, and so, the ball is overflowing, in the problematic place of the breast. In a dozen hour wither dry ganchirkoyu.

Bring the okremo pіvlіtrovі cans up to half with grated roots of the chrono, the root of the larkspur, the leaves of burdock, the fruits of the bark of the yard chestnuts, and one can of 1/4 worms with hot pepper. Fill all of them to the top with 40-45 ° throat and put them on 3 vats in a warm, dark place. For the skin tincture of the process, drink in a trilter bottle, add 200 ml of tart zhovchi, 5 small dances for iodine, a dance ammoniaі a pack of camphor, spread everything with lard to the consistency of thick sour cream, and rub the ointment in a sore moment of deformation of the breast tissue. Pislya decilkoh rubbed osteochondrosis into the dentition.

Take 100 ml of ready-made alcoholic infusions of the leaf with notes of sunitsa leaf, notes of chamomile, herb grass, notes of immortelle and brunettes of birch, and then take 1 tablespoon each. for 15-20 hilin before їzhі.

Causes of deformation of the breast cancer

The reasons for the ailment can be:

vrodzhena chi nabuta ridge deformation;

atrophy knitted fabric;

changes in cysts as the cause of deformation of the breast tissue;

atrophy of cyst tissue;

nadriv mezhpodiskov;

fractures of the ridges of the ridge yak cause deformation of the breast tissue;

osteoporosis.

Causes of natural deformities

Abnormal development of the cartilage of the ribs and sternum є the cause of the deformities of the chest wall. In most children, there is a congenital deformity of the breast cancer when people are born. In some cases, deformations become visible in a childish child. The defect in the formation of the right and left rudiment of the sternum in the process of embryonic development should be produced until the gorge of the sternum is established in the upper or lower її viddіli. The visible one of the gorge of the entire sternum will be joined by the protrusion of the pericardium, or the entire heart (ectopia cordis), with important vads of the heart.

Causes of leyko-like deformity of the breast cancer

Funnel-like deformity (firing of the breast - pectus exca-vatum) - depression of the sternum, cartilage and anterior ribs - the most common defect in the development of the sternum. The cause of congenital deformity is associated with genetically enhanced dysplasia of cartilage and tissue structures of the breast tissue. Tse pripuschennya primerutsya on the manifestation of similar vodzhennye snakes from relatives, as well as many vad development from a patient. The growth of deformation of the breast tissue is accompanied by damage to metabolic, including enzymatic, processes in cartilage and with good fabrics(Creation of awareness of mucopolisaccharides, destruction of exchange of hexoamidase and carboxypeptidase).

At the zyazyka z tsim sternum of the West When there is a sharp turn of the deformation of the breast cage, there is a change and rotation of the heart, a reduction in the ridge, a deterioration of the functions of the heart and legends.

Keel-like deformity of the breast clytini

The significance of the pathogenesis

Keel-shaped deformity of the breast plate (KDGK) is characterized by symmetric or asymmetric curves in front of the sternum and articulation of the ribs with it. KDGK wiklikє children only have a cosmetic defect; with a functional situation, it is not possible to see any kind of visibility from specific norms. However, for adults and for grown-ups, KDGK can be victorious functional rozladi(Reducing the life of a lot of legends, increasing the amount of sickness, decreasing the efficiency of living up to that in.)

Classification of KDGK

The most common and practical meaning of the classics of the KDGK was G.A. Baire and A.A. Fokin. Smells see three types of KDGK: manubriocostal, corporocostal and costal. The manubriokostalny type is characterized by a vigine anterior to the handle of the sternum and 2-3 rib cartilages articulating with it. Thin sternum and sword-like growth more often than not. With the corporeal type, the sternum is either obliquely reclined downward and forward in a straight line with maximum vipinans in the area of ​​the lower third, or arcuately curved forward in the area of ​​the middle and lower third. The cartilages are not very loosely curved in the middle. Costal type of obumovation of viginum forward of rib cartilages. Viciousness of the breastbone does not turn and often have a rotational character.

Method of treatment KDGK

It is important that there are a large number of surgeries to get hold of the thought, but it is only possible to get the CDGC quickly. The proponents of the decilcom by the authors of the methodology for the correction of the CDGC for the help "pressed" the corsets, they did not fill a wide extension. Performed thoracoplasty with a CDGK drive was made by Lester in 1953. In our country, the first operation of the Viconan G.A. Bairov in 1967 rotsi. The following is suggestive of a description of the most common methods surgical treatment KDGK.

Thoracoplasty according to Ravitch M.

Conduct transverse submammary growth of shkiri. Straight muzzles of the abdomen go out from the sternum and costal arches. Great and small chest connections are shown from the chest to the chest. All cartilage ribs are subperichondrically resected from both sides, repaired from 2, including costal arches. On the sieve in the eyes of the perichondrium cartilages, put a catgut suture, wrinkling in the "accordion". In such a rank, the speed of the intercostal areas and perchondrium is seen, and the sternum descends in a normal position. In case of vikrivenny sternum vikonuyut wedge-like sternotomy. The parts of the sternum in the sternotomy muscle are fixed with two U-shaped cystic nylon sutures. On top of the sternum, with the mark of the її fixation in the coriguvati, one by one is sewn one by one along the middle line of the great sternum. From below to them, the abdominal joints are straight. Sew up the wound.

Thoracoplasty according to N.I. Kondrashin.

Carry out a vertical rise of the breast along the anterior surface of the chest wall from the handle of the sternum in the center and 4 cm below the sword-like extension. The sword-like growth of the sternum is brought up and at the same time with the straight abdomen is brought to the bottom. Subperiosteally vibrate transversely to the sternotomy between I and II ribs. In the lateral subperiosteal direction, between the upper and lower sternotomy, the keeled deformities of the sternum are resected, leaving the lateral plates on the bone of the II-VII ribs from the sternum. Subperchondricular development of II-VII ribs from both sides. To create a transposition of the intersecting ribs at once from the sieve plates of the sternum to the center and sew them together with the same lavsan threads with knotted sutures. Suture on the sternum is applied to the II-VII ribs. If the ribs are not sewn together, they are NOT sewn. The other ribs with two vuzlovy tovsty lavsan sutures are fixed to the sternum handle (fig. №1).

A B C

Small. # 1. Scheme of thoracoplasty surgery according to N.I. Kondrashin in case of keeled deformity of the breast tissue.

A) rozrіz shkіri; b) resection of the sternum tila, the development of II-VII ribs from both sides; c) transposition of the cross ribs together with the sieve plates of the sternum to the center and fixing them between themselves.

Thoracoplasty according to O.V. Dolnitska and L.N. Dirdovskiy.

Conduct a chvilepodіbnyy rozrіz shkіri with an additional vertical along the middle line. To expose the sternum and deformed costal cartilage on the entire arm. Great chest muzzles, straight abdominal mucosa, one and only braids, muzzles are seen from the center of the attachment. Subperchondral with slightly rib cartilage from 2-3 to 7 ribs on the right and mal. At the level of the 3-4th mid-ribbed prominence, there should be transverse to the sternotomy of the sternum. Then the distal end of the sternum is resected at the boundaries of 1 1.5 cm. At the end, a tricut groove is molded, the curls are sewn on the sword-like edgewise with lavsan sutures. Straight tightening of the muscles of the abdomen of the wiklikє, the lowering of the sternum in the wick. The great breast muffs draw along the middle line between themselves, and below them, they go straight and lasting braids of the abdominal mucosa. In such a rank, vinik of his kind myazovy frame, Yaky squeeze on the sternum from the front (Fig. No. 2).

a B C

Small. No. 2. Scheme of thoracoplasty surgery according to O.V. Dolnitska and L.N. Dirdovskiy at KDGK.

a) rozrіz shkіri; b) resection of rib cartilages, transverse sternotomy, shortening of the distal sternum; c) fixation of the sternum, fixation of the great pectorals, straight and lateral oblique muzzles of the abdomen.

Thoracoplasty (metallosternochondroplasty) according to V.A. Tymoshenko.

The operation is performed in case of corporocosteal and costal forms of KDGK. Conduct transverse submammary growth of the shkiri vyroblyayut from the left teat line to the right. sword-like sprout from the sternum. In a blunt way retrosternal exfoliation of the parietal pleura from both sides. The breast is rosy, the ribs of the cartilage are deformed. Remaining subperichondrionally resected. The ribs of the arch extend to the sternum. Vykonuyut transverse wedge-shaped sternotomy with the mark of correcting deformation. For the perfect fixation of the sternocostal complex, a titanium plate is placed in the coriguvati, placed in front of the sternum, to form the shape of the sick breast bone individually and fix to the cyst part of the ribs. The ribs of the arch are fixed to the sternum with nylon sutures. The plate is seen in 6 months.

Zasosuvannya called "crush" corset by Haje SA.

The technique is based on the plastic power of the sternocostal complex in children and in the stepwise squeezing of the breast cell in a sagittal straight corset. The author describes the results of the treatment of 21 patients up to 13 years, on which they put on a corset of the original design, step by step change to the increase of the child's traction, and corrected the keel deformity. The term of wearing a corset is up to 2 years.

Small. No. 3. Methodology for the correction of CDGC according to Haje SA.

The greater the number of methods of surgical correction of KDGK of great traumatic is important, some of them include manipulation on the cyst-cartilaginous and m'yazov_y fabrics breast cancer. Bagato authorize not to fix the additional attachments for the stabilization of the sternocostal complex. Doctors of the victorious corset, proponated by Haje, the victorious deyaki sumnivi, the need for permanent wear that squeezes the breast cage with an extension extending up to two rocks.

Ridkisni congenital deformity of the breast tissue

Before malignant congenital deformities of the thoracic wart, a costal-malar defect (Poland's syndrome), sternum defect (splitting and dividing of the sternum), Currarino-Silverman's syndrome can be seen. In the literature about vices, one by one, and M. Ravith, you can see that the stink is about 2% of all DHA.

Costal-mucous defect - Poland's Syndrome

Syndrome Poland (SP) is a complex of defects, including the appearance of great and small breast muscles, syndactyly, brachydactyly, atelier (the appearance of the nipple of a milk clot) and / and the appearance of a child hairs in the groin of the groin and a decrease in the volume of the fat-and-fat ball. Some of the components of the syndrome were first described by Lallemand LM (one thousand weighing twenty) and Frorier R (1839). The same names of wines on the name of the English medical student Alfred Poland, which in 1841 were published in a small town, described this deformation. I will revise the characteristics of the syndrome in the literature for the first time published by Thompson J in 1895.

The joint venture is established at a frequency of 1: 30,000 - 1: 32,000 newborns and in 80% of cases they are right-sided. With a left-sided option, it is indicated that there is a development of a vigorous growth of internal organs, such as dextracardia to the general form of situs viscerum inversus. Deformation of the thoracic tissue in SP is varied from easy hypoplasia to aplasia of rib cartilages or of whole ribs on the sides of the striation.

Likuvannya joint venture - foldable in the technical plan, promptly involved. There are three items: put in the defect of the ribs and the renewal of the cyst frame, liquidate the hemitorax, set the correct anatomical interrelationships between the soft tissues of the nipple models and the milky area.

In 1961 rotsi Sulaama M. zi spivavt. inoculation 5th degree SP. In 4 ailments, Vikonana had plastic surgery with costal grafts, which were located in the subperiosteal region of the naval area with plastic plastic (Fig. 4). In one patient with two ribs totally visible, for super-other mobilization, the rib above the defect is overcrowded at the proximal end, and the edge, which lies before the defect, is at the distal end. The edges of the ribs are scraped like a place above the defect (Fig. 5).

Small. 4. Scheme of Sulaama 1 operation in Poland syndrome.

1. - defect of the ribs, 2. - the loss of resection of the cartilage of the perichondrium, 3. - displacement of the autograft.

Small. 5. Scheme of Sulaama 2 operation in Poland syndrome.

a. - view before the operation; b. - displacement of the ribs (directly shown by arrows); в - type of operation.

Ravitch M. vikoristovav for the reconstruction of split ribs of the graft using Teflon pads. Urschel HC on the addition to the rib graft using the valve from the widest back bone. Haller JA writing, which is foldable deformation breastfeeding vimagа engaging in an early childish visit to replace the outer ribs and the paradoxical collapse of the anterior surface of the breasts with the statements of the Legeny Gryzhi. For the stabilization of the breast, autogenous transplantation of the rib and silikon prosthetic tissue to replace the endothoracic fascia were performed. The innovative physiological functionality, the whole method does not at all assimilate a cosmetic defect in the inheritance of the great and some small breast mucous. However, the author himself means that storing silikon does not allow good results in a child's life and to produce up to a number of accelerated results. Using a single technique, allowing one to simultaneously insert the defect of the ribs and cosmetic parts on the author's thought є the insertion of rib autografts with a one-step plastic part of the widest joint of the back. Three patients of 10, 14, and 16 years, who operated according to this method, had good results.

G.A. Baiira inoculations describe 16 ailments from the joint venture, operated from 4 to 11 years. There are 8 girls and 8 boys in the middle of the last year. Technique of operations according to G.A. Bairova polyagaє in the offensive: we mow through the point of maximum zapadannya along the mid-ribbed spaces with a turn of the burn at the sternum to expose the sternocostal complex. See the edge of the ribs. From the appendage of the underlying ribs, cysts of the graft are cut, which at once move from the sides in the defect and extend to the end of the subcutaneous ribs from one side and up to the sternum from the bottom (Fig. 6).

Small. 6. Scheme of surgery for Poland syndrome according to G.А. Bairova

In 2 ailments, the correction of deformation was performed by the ribs of the traction threads, which were fixed on the tires with low traction. In one patient with a great rib defect in the vikoris, an allograft from a great cyst. The results of the operations are good.

Vrojena gorge sternum

Vrodzhena sternum gorge (HRG) is a rare pathology. In case of any anomalies, the heart grows out of the wadi, the sternum is split frequently, and the pericardium, as it is, is, as it were, curving the sternum, intact. A partial sternum defect is localized at the upper part of the sternum and in the area of ​​the handle, against the thoracic and thoracoabdominal ectopia, when the lower part of the sternum is split. In most ailments with an incompletely split sternum, the lower third and sword-like growths are spared. In addition to a cosmetic defect, the sternum is split not in a viscous and functional manner. The front surface of the heart and the magistralny of the judgment appears to lie beside the child, which is insanely insecure for the life of a child, a high degree of child's trauma.

The literature describes 5 types of VRH (Fig. 7): 1. Splitting only the handle of the sternum. 2. Splitting of the handle and upper third of the sternum (U-like shape). 3.Subtotal cleavage of the sternum (V-shaped). 4. Totally split sternum. 5. Splitting of the lower third of the sternum and sword-like appendage.

Malyunok 7. Tipi sternum gorges according to G.А. Bairova.

Є two classical methods of closing the middle defect. The Longino L method is stored in the middle line of rudiments of the sternum for the first part of the marginal hanging (Fig. 8). Qia operation stays with children early vik If the breast tissue is pliable, it is flexible, and half of the split breast bone can be tied one by one without difficulty.

Small. 8. Scheme of the Longino operation at VRH.

Thoracoplasty according to Sabiston is considered to be in front of the anterior period, which is added to the partial marginal excision and repair of parts of the sternum;

Small. 9. Scheme of the operation Sabiston at VRH.

There are a number of modifications in the order. Knox L. in case of a U-shaped gorge, resect the horizontal (lower) part of the sternum, and then put it on top of the two parts of the sternum (Fig. 10). For such a technique of operations, there is one ailment with a good result.

Small. 10. Scheme of the operation of Knox L. at HRH. 1. - lines of horizontal growth of the sternum, 2. - autograft on the sternum.

G.A. Baiira published the result of a surgical treatment of 11 ailments in 1 month. up to 7 rock_v. Shown before the opera on G.A. Bairova є: paradoxical pendulum-like movement of organs in the middle of Children have up to 1 month of life G.A. Baiyra vikonu tilki sshivannya rudiments of the sternum by Longino. For the most recent period, an operation of the Sabiston type was carried out, adding additional changes and changes in mm. sternoclaidomastoideus to the sternum (Fig. 11). Valla JS, having used the method of plastics, to separate the edges from the lower portions of the sternum and fiksuvati on the opposite side.

Small. 11. Scheme of the operation according to G.А. Bairov at VRG.

The main shortcomings in the history of all described operations, especially in older children, in this world of changes in the size of the breast, especially with significant diastasis between parts of the fractured breast. Non-folding mathematics can be shown, but when we have a diastasis of 5 cm. The breast cancer in a child of 5 rocks changes by about 400 ml3. If I want the insanely high compensatory power of the child's body, we additionally help the ailment to cope because of the growing internal grip of the inner grip, but nevertheless, it’s still faster. during the operational period... Formed from split parts, the sternum is thinner і mensh mіtsna, lower in normі. The situation is insanely based on the functional results of the process.

Currarino-Silverman syndrome

Syndrome Currarino - Silverman (SCS) polyagaє in early synostosis between the storage parts of the sternum. As a result, the sternum develops in significantly smaller sizes, lower in the norm. The first inheritance is the diagnosis of deformity of the entire cyst frame of the thoracic plate, often due to the type of combination (additional keeled deformity of the sternum with retraction of the rib arches). The ribs of the arch are higher, lower in the norm, and go up to the lower part of the sternum, further down the gut. Sword-like outgrowth of the space back, towards the middle. In the first place, the syndrome will be lost with the appearance of the heart.

The first description of the surgical correction of the given type of DHA was grafted by Ravitch M. in 1952. Winning the SCS yak a variant of the keeled deformity of the breast plate and proponing the original technique of its correction. For the most part about pathology in the literature, we develop one at a time. From 1966 to 1999, in the Medline database, there were only three literary jerels, in which the syndrome and methods of its operative correction were described. Chidambaram B. describing 5 ailments with SCS and vodzhenny vadami heart. In all ailments, DHA is reversed. It is a pity in the given statty the main emphasis is to be on the look-out for the heart, they are not guessing about the DHA correction. In the offensive statti Mehta AV, so it is itself to direct data about the treatment of vad hearts among the ailments from the SCS. In one statistic Shamberger RC, Welch KJ described 5 ailments operating on the drive given to the syndrome... The author made a resection of rib cartilages from 2 to 7, a transverse wedge-shaped resection of the sternum with further sutures of the sternotomy with a small suture. Niyako predatkovoi fiksatsii sternum not viscous. No further results are described.

add deformation

Adding deformity of the breast tissue (PDGK) - the reduction of the sternum and ribs call-in injection on the organism of the child ( fired up, Injury, surgical operations etc.). Most often, about the type of DHA, it’s about the accelerated development of thoracoplasty with the drive of a variety of congenital deformations and cardiological operations. Beasts on myself I respect those who, by all the authors, do not see the type of DHA in the background of the problem, and until the end of the process is completely standard.

Deformation of the transfer dying breastfeeding and breastfeeding

Deformation and accelerated neglect ignition processes, Victorious pathogenic microorganisms. Yu.F. Isakov with sp_authors described 15 ailments with chronic emotions... In all ailments, there are significant deformations of the breast cage, which glaze in a narrow change in the circumference on the sides of the cut, the sound of inter-ribbed prominences, breastfeeding ridge. In 4 of them, the very deformity of the ribs in the inheritance of osteomyelitis. According to the authors' data, 15 ailments accounted for 2.8% of the number of children with bacterial forms of lung destruction. Similar to the genus DHA in the Danish hour, it is very rare to explain the effectiveness of current antibacterial drugs.

post-traumatic deformity

Injuries to the breast cancer in children are often tolerated. For the tribute to N.G. Ladies with injuries to the chest cells account for 3.4% of all injuries in children. Due to the mobility and fleshness of the cyst frame, the stench is easy to get rid of during the period of injuries. Fractured ribs in children can easily cause DHA to be diagnosed. The most frequent post-traumatic deformities are caused by fractures of the handle and til of the sternum. Adequate DHA can rarely lead to cosmetic defects and, most often, do not result in prompt repairs. However, Norotte G suggests a description of a 14-year-old patient with a transverse fracture of the til of the sternum, in which, two months later, after injuries, there was a deformity of the thoracic clitine due to the type of VDHK. To drive the youmu bull, the Viconan Corriguyucha Operation.

Recurrence of thoracoplasty due to the drive of a normal type of congenital DHA

The diagnosis of recurrences without a median is tied to the stage of deformity, the apparent underlying pathology, all the ailments, the severity of the operative involvement and the method of thoracoplasty. I will look at the frequent feasibility of DHA, especially in the case of low recessionary syndromes (Marfana or Ellers-Danlos), some of the time it takes for an operative addiction is so necessary to seek for the most part. Willital (1977) performed 235 operations based on Paltia plate analysis with results analyzed after 4 rockets to 25% of good and bad results. Oelsnitz (1976), in a given period, 120 ailments operated according to the classic Rebine technique, meaning good results only in 83 (69.2%). Good and bad results (30.8%) were boosted with growths behind the stages of relapses of deformity. Sbokos (1975) showed a relapse of DHA for thoracoplasty according to Rebine in 15% of cases. Apparently, as for the fixation of the sternum, the vikoristoyu use of Kirschner's spokes, recurrence occurs in 32% of the vapors (Dolnitsky, 1978). It’s possible to understand that the results of thoracoplasty due to the stagnation of metal physicists are due to the literature on the results of the thoracoplasty, and it is possible that the results were taken into account in 23.8% of the cases. The most recent review of thoracoplasty with fixation of the sternum with cystic grafts is from Krause and Papiow (1977). Authors have selected 87 operations for children from 2 to 15 years. The results were seen in 33 people with illnesses and in 41% of them there was a good result. 48% of the values ​​have a good result. And in 4 ailments (3.5%) with bends, a relapse of deformity. Writing thoracoplasty without storing special fixators so relapses itself. Ravitch M. (1977) in terms of 20% of unsatisfactory results from their operations, Pena (1981) and Ottolenghi (1982) - 15% and 20% altogether. Robicsek (1974) after modifying the operation of Ravitch M., but not less than 31% of a risky step relapse. Haller (1978) visited 254 operations following the Ravitch M. technique. 32% of them were diagnosed with recurrent deformities. In less than 10 children, they know of a relapse. The summarized data, introduced in the literature, show that when thoracoplasty was done without fixation of fixators, a relapse of the disease was observed in 19.9% ​​of the ailments.

Deformation. At the end of the period, you can try to tame the development of ailments for additional special gymnastics and take part in singing sports (volleyball, basketball, swimming, paddling). At the other and the third stage of deformation, it is recognized that it is promptly eliminated. The operation is carried out for patients from 3 to 14 years. Before the operation, the child needs to be in good health, so that he does not miss any illnesses, which could be the cause of the deformation.

Keel-like deformity of the breast tissue or "chicken breast" is a reduction in the size of the breast tissue. In general, the sternum is meaningfully stuck forward, and the ribs go down to it. Likuvannya of such deformity of the breast cell to pass the offensive rank: to recognize physiotherapy, swimming and physiotherapy. Yaksho the patient’s camp is all one heart-vascular system That can be a plastic operation (thoracoplasty).

Any physical right can not correct deformation breast tissue, it is possible to deprive spovіlniti її or navіt zupiniti. Krim, everything can be deprived at the first stage of becoming ill. Busy with bodybuilding, who are most trusting in the process of deformation, also allow you to get prikhovati for rakhunok myazovoi masi... Especially respect for corrected deformations is to be on the right on the chest: on the bars, bench press, half-over, dumbbells are recumbent and so to the right, like pouring on the extension, bit by bit: blocking, upper thrust. If you are stronger than breasts, you will be more beautiful. The very fact, the most effective right є: bench press on heightened boards and on a horizontal surface.

Deformation of the breast cage can be of two types: congenital leykopodibnoy and keeled. The most frequent deformation occurs in children who are attracted by asthenic development. With a large ailment, the world of stepwise growth of a child's body has progressed and there is a slight cosmetic defect in the appearance of the anterior aspect of the breasts. As a rule, the deformity of the breast tissue can be extended from the curves of the ridge.

Instructions

Correction of the ridge of the ridge with a special special dressing corset. To achieve positive results, wear it, you will have a few years for a day, stretching out a lot of rock. Just for the price, think about the deformation of your ridge.

especially lykuvalnuyu gymnastics It is recommended to work today for absolutely all people who suffer from the ridge. Right, come in before the її complex, zmіtsnyuut m'yazi tuluba, molding m'azovy corset. Even more brown when the ridge is curved, whether it is a step of floating and rolling on the licks.

Regardless of the step of the ridge dipping and opposite to the method of correcting it, take the regime of the day, spend more time, walk on a fresh occasion, see the baggage on the vitamins.