Navigating the thoracic inlet in children

Though various approaches to the thoracic inlet have been described in adults, currently no guidelines exist in children. Reports in the literature of resection of thoracic inlet tumours in children are only anecdotal. Literature was reviewed to assess the various described approaches with reference...

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Veröffentlicht in:	Pediatric surgery international 2008-04, Vol.24 (4), p.491-494
Hauptverfasser:	Jones, Vinci S., Pitkin, John
Format:	Artikel
Sprache:	eng
Schlagworte:	Case Report Child, Preschool Ganglioneuroma - diagnosis Ganglioneuroma - surgery Humans Male Medicine Medicine & Public Health Pediatric Surgery Pediatrics Surgery Thoracic Neoplasms - diagnosis Thoracic Neoplasms - surgery Thoracic Surgical Procedures - methods Tomography, X-Ray Computed Treatment Outcome
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Zusammenfassung:	Though various approaches to the thoracic inlet have been described in adults, currently no guidelines exist in children. Reports in the literature of resection of thoracic inlet tumours in children are only anecdotal. Literature was reviewed to assess the various described approaches with reference to suitability in children. Experience with a 3.5-year-old boy having a thoracic inlet ganglioneuroma, using the anterior cervico-thoracic trap door incision demonstrated excellent access and minimal morbidity. We recommend the trap door incision as the preferable route for exploring thoracic inlet tumours in children.
ISSN:	0179-0358 1437-9813
DOI:	10.1007/s00383-007-2056-x