Radiation diagnostics of funnel-shaped deformation of the chest in children

  • Arina A. Deryagina Deryagina Saint Petersburg State Pediatric Medical University, 2 Lithuania, Saint Petersburg, 194100, Russian Federation https://orcid.org/0009-0006-6239-7084
  • Damir A. Malekov Saint Petersburg State Pediatric Medical University, 2 Lithuania, Saint Petersburg, 194100, Russian Federation
  • Karine K. Panuntseva Saint Petersburg State Pediatric Medical University, 2 Lithuania, Saint Petersburg, 194100, Russian Federation
  • Natalya V. Marchenko Saint Petersburg State Pediatric Medical University, 2 Lithuania, Saint Petersburg, 194100, Russian Federation
  • Alexander V. Pozdnyakov Saint Petersburg State Pediatric Medical University, 2 Lithuania, Saint Petersburg, 194100, Russian Federation
  • Olga F. Pozdnyakova Saint Petersburg State Pediatric Medical University, 2 Lithuania, Saint Petersburg, 194100, Russian Federation
  • Kirill P. Drobotov Saint Petersburg State Pediatric Medical University, 2 Lithuania, Saint Petersburg, 194100, Russian Federation
  • Maya M. Grebenyuk Grebenyuk Saint Petersburg State Pediatric Medical University, 2 Lithuania, Saint Petersburg, 194100, Russian Federation
Keywords:
funnel-shaped chest deformity radiography multispiral computed tomography воронкообразная деформация грудной клетки рентгенография мультиспиральная компьютерная томография

Abstract

The most common congenital anomaly of the anterior chest wall is a funnel-shaped chest deformity. A funnel-shaped chest
deformity is not only an aesthetic problem, but also a medical and social problem that requires an interdisciplinary approach. In severe
cases, the deformity can lead to respiratory and heart problems, gastrointestinal issues, and secondary complications such as kyphosis
or scoliosis, as well as serious psychological problems related to quality of life. The role of radiation diagnostics in this case is key and
indispensable at all stages — from initial examination to postoperative control, as it is a complex of methods, including radiography,
computed tomography and magnetic resonance imaging, which allow not only to visualize the defect, but also to quantify its severity by
calculating the Haller index,the index of correction and angle of inclination of the sternum allows you to objectively assess the degree
of compression effect on the mediastinal organs, heart, main vessels and pulmonary parenchyma, identify concomitant pathology,
accurately draw up an individual plan for the upcoming surgical correction, choose the optimal size and simulate the implant, and then
conduct full-fledged postoperative monitoring to assess the correct position of the installed plate, bone consolidation, elimination of
compression of internal organs and early detection of possible complications such as structural migration

Author Biography

Arina A. Deryagina Deryagina, Saint Petersburg State Pediatric Medical University, 2 Lithuania, Saint Petersburg, 194100, Russian Federation

Resident of the Department of Medical Biophysics and Physics

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