RADICAL RECONSTRUCTIVE TORACOPLASTY - A NEW METHOD OF TREATMENT OF PATIENTS WITH CHOANOID DEFORMATION OF BREAST

Objective - development of a new method of surgery correction of choanoid deformation of breast, leading to significant improvement of the treatment results of the patients with this pathotology. The new method is being developed based on the analysis of the own long experience of treatment of the patients with choanoid deformation of breast. In total, over than 70 patients have been surged, with the age ranging from 5 to 35. The surgeries have been implemented in Leningrad Pediatric Medical Institute clinic as well as clinics in Georgia. In the course of formation of conception of the new surgery, all methods of surgery treatment of the patients having the indicated disease, applied up to now, have been critically analyzed. As a result, a new method of the surgery correction of the choanoid deformation of breast has been developed and tested which enables restoration of the natural architectonics of the deformed part of the patient's thoracic wall. Meanwhile, the strut consisting of the sterno-costal-cartilage fragments according to "stone arch" type stably and strongly fixes breast bone in the correct position, not requiring application of any artificial constructions for fixation of the breast bones. The basic and general principles of treatment of the patients with the bones trauma (repositions and immobilization of the bone fragments) have been observed within the developed method, possibility of occurrence of diastalsis or tangling the bones-cartilage fragments is excluded thus guaranteeing their fastest consolidation. Our results confirmed the correctness of new conceptual approach and technical realization of the developed method. Only 5% of the patients during the surgery have been observed to have insignificant damages of the parietal and visceral pleura. All patients have been released frpm the hospital on 3-5 day after the surgery. We have observed the patients during from 1 to 13 years after the surgery. No late post-surgery complications observed. The patients have been rehabilitated in psychological and emotional point of view, the quality of life has been significantly improved, and the ability to work has been completely recovered. Therefore, the method of surgery correction of the coanoid deformation of the breast, provided that the surgery technique is completely learnt and the surgeon is of proper qualification, enables reaching the guaranteed positive result of treatment even in those patients suffering from heavier form of the disease