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Radical thoracoplasty using osseous osteosyn thesis in chest deformity in patients with Currarino–Silverman syndrome

https://doi.org/10.24884/0042-4625-2025-184-1-55-60

Abstract

INTRODUCTION. Currarino – Silverman syndrome is a very rare deformity of the sternum and chest wall resulting from premature obliteration of the manubriosternal joint. In this paper, we present the experience of radical thoracoplasty using osseous osteosynthesis in patients with Currarino – Silverman syndrome.

METHODS AND MATERIALS. Surgical treatment includes bilateral subcostal resection of rib cartilage, osteotomy of the sternum and its correction in the correct anatomical position using intraosseous and osseous osteosynthesis.

RESULTS. The study included 4 patients (1 men and 3 women) aged from 22 to 30 years. The average surgery time was 146±17 minutes. Patients were activated on the 2nd day and discharged on the 7th day after surgery. The observation period after correction ranged from 6 months to 3 years. No complications or relapses were recorded. All patients are satisfied with the results of the correction.

CONCLUSIONS. Radical thoracoplasty using osseous osteosynthesis for chest deformity in patients with Currarino – Sil verman syndrome allows achieving an optimal correction result with minimal postoperative scarring and high satisfaction.

About the Authors

A. N. Lednev
National Medical Research Center of Surgery named after A. V. Vishnevsky
Russian Federation

Lednev Aleksey N., Cand. of Sci. (Med.), Thoracic Surgeon of the Department of Thoracic Surgery

27, Bolshaya Serpukhovskaya str., Moscow, 117997


Competing Interests:

The authors declare no conflict of interest.



A. A. Pechetov
National Medical Research Center of Surgery named after A. V. Vishnevsky
Russian Federation

Pechetov Aleksey A., Cand. of Sci. (Med.), Head of the Department of Thoracic Surgery

27, Bolshaya Serpukhovskaya str., Moscow, 117997


Competing Interests:

The authors declare no conflict of interest.



I. I. Danilov
National Medical Research Center of Surgery named after A. V. Vishnevsky
Russian Federation

Danilov Ilya I., Surgeon of the Department of Thoracic Surgery

27, Bolshaya Serpukhovskaya str., Moscow, 117997


Competing Interests:

The authors declare no conflict of interest.



N. V. Gulova
National Medical Research Center of Surgery named after A. V. Vishnevsky
Russian Federation

Gulova Natalya V., Surgeon of the Department of Thoracic Surgery

27, Bolshaya Serpukhovskaya str., Moscow, 117997


Competing Interests:

The authors declare no conflict of interest.



References

1. Ravitch M. M. Unusual sternal deformity with cardiac symptoms opera tive correction. J Thor Surg. 1952;23:138–44. https://doi.org/10.1016/S0096-5588(20)31203-4.

2. Currarino G., Silverman F. N. Premature obliteration of the sternal su tures and pigeon-breast deformity. Radiology 1958;70:532–40. https://doi.org/10.1148/70.4.532.

3. Ravitch M. M. Operative correction of pectus carinatum (pigeon breast). Ann Surg 1960;151(5):705–14. https://doi.org/10.1097/00000658196005000-00011.

4. Shamberger R. C., Welch K. J. Surgical correction of chondroma nubrial deformity (Currarino Silverman syndrome). J Pedia Surg. 1988;23(4):319–22. https://doi.org/10.1016/s0022-3468(88)80197-0.

5. Soria-Gondek A., Oviedo-Gutiérrez M., Martín-Lluís A. et al. Modified Ravitch procedure and autologous cartilage graft for pectus arcuatum. Ann Thorac Surg. 2022;114:e105–7. https://doi.org/10.1016/j.athoracsur.2021.10.053.

6. Leng S., Bici K., Facchini F. et al. Customized cutting template to assist sternotomy in pectus arcuatum. Ann Thorac Surg. 2019;107:1253–8. https://doi.org/10.1016/j.athoracsur.2018.10.057.

7. Kim S. Y., Park S., Kim E. R. et al. A case of successful surgical re pair for pectus arcuatum using chondrosternoplasty. Korean J Thorac Cardiovasc Surg. 2016;49:214–7. https://doi.org/10.5090/kjtcs.2016.49.3.214.

8. Lester С. W. Pigeon breast (pectus carinatum) and other protrusion de formities of the chest of developmental origin. Ann Surg. 1953;137:482 9. https://doi.org/10.1097/00000658-195304000-00008.

9. Chin E. F. Surgery of funnel chest and congenital sternal prominence. Br J Surg. 1957;44:360–76 https://doi.org/10.1002/bjs.18004418607.

10. Steiner R. M., Kricun M., Shapiro J. Absent mesosternum in congeni tal heart disease. AJR Am J Roentgenol. 1976;127:923–5. https://doi.org/10.2214/ajr.127.6.923.

11. Fokin A. A. Disorders of sternal ossification, pectus carinatum and car diac pathology. Ortop Travma Prote. 1983;10:48–52.

12. Lees R. F., Caldicott J. H. Sternal anomalies and congenital heart dis ease. AmJ Roentgenol Radium Ther Nucl Med. 1975;124:423–7. https://doi.org/10.2214/ajr.124.3.423.

13. Abdellaoui S., Scalabre A., Piolat С. et al. Pectus arcuatum: a pec tus unlike any other. J Pediatr Surg. 2023;58:1679–85. https://doi.org/10.1016/j.jpedsurg.2023.03.013.

14. Pechetov A. A., Lednev A. N., Makov M. A., Chlan T. N. Intercostal nerve cryoablation in correction of pectus excavatum in adults. Pirogov Russian Journal of Surgery. 2021;(5):14‒19. (In Russ.). https://doi.org/10.17116/hirurgia202105114.


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Lednev A.N., Pechetov A.A., Danilov I.I., Gulova N.V. Radical thoracoplasty using osseous osteosyn thesis in chest deformity in patients with Currarino–Silverman syndrome. Grekov's Bulletin of Surgery. 2025;184(1):55-60. (In Russ.) https://doi.org/10.24884/0042-4625-2025-184-1-55-60

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ISSN 0042-4625 (Print)
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