Effects of the Nuss procedure on chest wall kinematics in adolescents with pectus excavatum

B. Binazzi, G. Innocenti Bruni, F. Gigliotti, C. Coli, I. Romagnoli, A. Messineo, R. Lo Piccolo, G. Scano

Research output: Contribution to journalArticlepeer-review

Abstract

No data are available on the effects of the Nuss procedure on volumes of chest wall compartments (the upper rib cage, lower rib cage and abdomen) in adolescents with pectus excavatum. We used optoelectronic plethysmography to provide a quantitative description of chest wall kinematics before and 6. months after the Nuss procedure at rest and during maximal voluntary ventilation in 13 subjects with pectus excavatum. An average 11% increase in chest wall volume was accommodated within the upper rib cage (. p=. 0.0001) and to a lesser extent within the abdomen and lower rib cage. Tidal volumes did not significantly change during the study. The repair effect on chest wall kinematics did not correlate with the Haller index of deformity at baseline. Six months of the Nuss procedure do increase chest wall volume without affecting chest wall displacement and rib cage configuration.

Original languageEnglish
Pages (from-to)122-127
Number of pages6
JournalRespiratory Physiology and Neurobiology
Volume183
Issue number2
DOIs
Publication statusPublished - Aug 15 2012

Keywords

  • Breathing pattern
  • Chest wall
  • Kinematics
  • Optoelectronic plethysmography
  • Pectus excavatum

ASJC Scopus subject areas

  • Physiology
  • Pulmonary and Respiratory Medicine
  • Neuroscience(all)

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