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    Incidence of chest wall deformity in 15,862 students in the province of Sivas, Türkiye
    (2023) katrancioglu, ozgur; AKKAS, YUCEL; şahin, ekber; Demir, Fatmagul; Katrancioglu, Nurkay
    Background: This study aims to investigate the prevalence of chest deformity in middle- and high-school students in Sivas province of Turkey, to identify the risk factors associated with the psychological and physical disorders caused by the deformity, and to facilitate early diagnosis and treatment guidance by increasing awareness of this problem. Methods: Between October 2011 and May 2012, a total of 15,862 students (8,508 males, 7,354 females; mean age: 15.9±1.3 years; range, 12 to 19 years) from public schools were included. A number of schools were randomly selected for study, and the students were screened by physical examination. A study protocol was developed in which patients with deformities were questioned about family history and symptoms. Results: Chest wall deformity was detected in a total of 250 students (1.6%). The prevalence rates of pectus carinatum and pectus excavatum in the children were 0.7% and 0.6%, respectively. The overall prevalence of chest wall deformity was 1.6%. Conclusion: Chest wall deformity is more common in boys and pectus carinatum is the most common deformity type. Chest wall deformity is more common in the 15-16 age group and female sex is a risk factor for psychological discomfort.
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    Outcomes of the minimally invasive nuss procedure for pectus excavatum
    (2024) katrancioglu, ozgur; Karadayi, Sule; Katrancioglu, Nurkay
    Because of some disadvantages of the \"Ravitch method,\" which is the classical open surgical method used for many years in the treatment of pectus excavatum (PE), as an alternative to it, a minimally invasive surgical method called the “Nuss procedure” has been developed. This procedure has become the most preferred surgical method in the treatment of PE in recent years. In our study, we aimed to share the results of the “Nuss procedure” that we applied to our patients with PE in light of the literature. The files of 77 patients who underwent a Nuss operation for PE in our clinic between July 2007 and March 2023 were evaluated retrospectively. The age, gender, surgical method, complications, and length of hospital stay of the patients were recorded. The median age was 17.71±4.84 years (range, 2.5-33) and the majority of patients were male (63 males, 14 females). As symptoms, 14 (18.2%) patients had dyspnea, 32 (41.5%) had chest pain, and almost all patients had psychosocial problems. While minimal pneumothorax was the most common early postoperative complication (n=18, 23.4%), bar dislocation was the most common late complication (n=5, 6.5%). None of the patients had serious complications such as death, organ injury, or massive bleeding during the operations. We think that the Nuss procedure, which is a minimally invasive approach, can be safely applied to selected patients due to its short operation time, low complication rate, and success in correcting the deformity.