Congenital Chest Wall Anomalies Flashcards

1
Q

Are congenital deformities of the ribs common or uncommon and important or unimportant

A

Common and unimportant

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2
Q

Complication of absence of one or more ribs

A

Lung hernia
paradoxical movement of affected part of the chest

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3
Q

Which type of rib is more at risk of having an extra number

A

Cervical ribs

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4
Q

Syndrome caused by extra cervical rib

A

Thoracic outlet syndrome

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5
Q

What is thoracic outlet syndrome

A

Cervical cervical rib compressing nearby nerves and arteries causing Shoulder and neck pain (c7T1)

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6
Q

Is the total absence of sternum rare or common

A

Very rare

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7
Q

Complication of total absence of sternum

A

Ectopia cordis which carries high mortality

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8
Q

Where can you find Partial defects presents in the sternum

A

In the upper sternum
lower sternum

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9
Q

Best period To perform a correction of upper sternum defects

A

Neonatal period

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10
Q

What is pectus excavatum

A

Normal manubrium with depressed Gladiolus in the thorax
Attached lower costal cartilages are acutely angulated

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11
Q

What is the main consequence/complication of pectus excavatum

A

Cosmetic or psychological trauma to the child

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12
Q

Main investigation in pectus excavatum

A

Lateral chest x-ray

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13
Q

Treatment of Pectus excavatum

A

Conservative with braces
Surgical correction around 8yo with steel bar which is removed 6-8 weeks after

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14
Q

Which type of patient is eligible for vacuum bell in pectus excavatum

A

Patient with mild pectus excavatum

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15
Q

What is Pectus carinatum

A

Sternum is pushed forward and the ribs are flattened laterally

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16
Q

Why is surgical correction hardly if ever required in pectus carinatum

A

Because it rarely causes symptoms

17
Q

What is the main way to correct pectus carinatum

A

Braces with dynamic compression

18
Q

Are there indication for surgery in Pectus carinatum

A

More than 10 psi in pressure
Open perichondrium
Resect protruding cartilage
Partial osteotomy to push down part of protruding sternum

19
Q

What are the 3 components of Poland syndrome

A

Congenital malformation of chest wall

Ipsilateral pectoralis major defect

Ipsilateral limbs abnormalities