• Home
  • NEW DAY MEDICINE
  • 12 (86) 2025
  • 39 -12 (86) 2025 - Farmonov A.T. - PHYSIOLOGICAL FEATURES OF THE THORACIC CAGE IN CHILDREN WITH CONGENITAL FUNNEL-CHEST DEFORMITY (PECTUS EXCAVATUM)

39 -12 (86) 2025 - Farmonov A.T. - PHYSIOLOGICAL FEATURES OF THE THORACIC CAGE IN CHILDREN WITH CONGENITAL FUNNEL-CHEST DEFORMITY (PECTUS EXCAVATUM)

PHYSIOLOGICAL FEATURES OF THE THORACIC CAGE IN CHILDREN WITH CONGENITAL FUNNEL-CHEST DEFORMITY (PECTUS EXCAVATUM)

Farmonov A.T. - Bukhara State Medical Institute named after Abu Ali ibn Sina

Resume

Pectus excavatum is the most common congenital deformity of the anterior chest wall in the pediatric population (1). Contemporary research demonstrates that the condition extends beyond cosmetic appearance and produces significant physiological alterations involving respiratory mechanics, lung ventilation capacity, thoracic compliance, and cardiopulmonary interactions (2,3). Posterior displacement of the sternum decreases the anteroposterior diameter of the thoracic cavity, reduces intrathoracic volume, limits diaphragmatic movement, and may compress the right cardiac chambers (4,5). This review summarizes current scientific evidence regarding the anatomical characteristics, respiratory physiology, cardiopulmonary consequences, and diagnostic methods used to assess pectus excavatum in children. Studies consistently show that functional impairments become more evident with age, particularly during periods of rapid adolescent growth (6,7). Early detection and regular functional monitoring are essential to prevent long-term respiratory and cardiovascular complications (8,9,10).

Keywords: pectus excavatum, pediatric chest wall deformity, lung ventilation, thoracic physiology, cardiopulmonary function.

First page

224

Last page

227/p>

For citation:Farmonov A.T. - PHYSIOLOGICAL FEATURES OF THE THORACIC CAGE IN CHILDREN WITH CONGENITAL FUNNEL-CHEST DEFORMITY (PECTUS EXCAVATUM)//New Day in Medicine 12(86)2025 224-227 https://newdayworldmedicine.com/en/new_day_medicine/12-86-2025

List of References

  1. Kelly R.E. Pectus excavatum: Historical background, clinical picture, preoperative evaluation and criteria for operation. Seminars in Pediatric Surgery. 2008;17(3):181–193. doi:10.1053/j.sempedsurg.2008.03.003
  2. Jaroszewski D.E., Johnson K., McMahon L., Notrica D. Sternal deformities in children: Pectus excavatum and pectus carinatum. Pediatric Clinics of North America. 2012;59(5):971–988. doi:10.1016/j.pcl.2012.07.004
  3. Fonkalsrud EW. Current management of pectus excavatum. World Journal of Surgery. 2009;3394):516–527. doi:10.1007/s00268-008-9853-2
  4. Lawson M.L., Mellins R.B., Paulson J.F. et al. Impact of pectus excavatum on pulmonary function in adolescents. Journal of Pediatrics. 2015;167(1):111–116.e1. doi:10.1016/j.jpeds.2015.03.015
  5. Neviere R, Duhamel A, Wallaert B, et al. Cardiopulmonary response following surgical repair of pectus excavatum. Chest. 2011;140(3):706–713. doi:10.1378/chest.10-3241
  6. Haller JA, Kramer SS, Lietman SA. Use of CT scans in selection of patients for pectus excavatum surgery: A preliminary report. Journal of Pediatric Surgery. 1987;22(10):904–906. doi:10.1016/S0022-3468 [87 ]80585-7
  7. Obermeyer R.J., Goretsky M.J. Chest wall deformities in pediatric patients. Pediatric Clinics of North America. 2016;63(3):743–758. doi:10.1016/j.pcl.2016.02.013
  8. Park H.J., Lee S.Y., Lee C.S. A novel three-dimensional analysis of pectus excavatum morphology and surgical outcomes. Journal of Thoracic Disease. 2020;12(3):1125–1134. doi:10.21037/jtd.2019.12.63
  9. Choi H.N., Kim H.S., Lee S. Respiratory function in children with funnel chest deformity: A comprehensive assessment. European Respiratory Review. 2020;29(156):200125. doi:10.1183/16000617.0125-2020
  10. Maagaard M., Heiberg J., Thilen U. et al. Cardiopulmonary exercise testing before and after minimally invasive repair of pectus excavatum [Nuss procedure ]. Annals of Thoracic Surgery. 2019;108(5):1452–1459. doi:10.1016/j.athoracsur.2019.03.019

    file

    download