Hasan ERSÖZ, Aydın ŞANLI, Volkan KARAÇAM, İsmail AĞABABAOĞLU, Ali KARAKILIÇ, Fatma İlknur ULUGÜN

Toraks deformitelerinde kaburga kemiği uzunluğunun kostal kıkırdak uzunluğuna oranı ile deformite şiddetinin belirlenmesi

Amaç: Bu çalışmada kaburga kemiği uzunluğunun kostal kıkırdak uzunluğuna oranının göğüs duvarı deformitesi şiddetinin belirlenmesinde etkili olup olmadığı araştırıldı. Çalışma planı: Çalışmaya göğüs duvarı deformitesi nedeniyle ameliyat edilen 72 hasta (64 erkek, 8 kadın; ort. yaş 18.5±6 yıl; dağılım, 6-40 yıl) ve 38 kontrol deneği (22 erkek, 16 kadın; ort. yaş 14.6±4.2 yıl; dağılım, 6-25 yıl) dahil edildi. Hastaların 69’unda pektus ekskavatum ve üçünde pektus karinatum saptandı. Tüm katılımcıların kaburga kemiği uzunluğu-kostal kıkırdak uzunluğu oranı indeksi, Haller indeksi, düzeltme indeksi ve bilgisayarlı tomografi depresyon indeksi ölçüldü ve karşılaştırıldı. Bulgular: Hasta grubunda bilgisayarlı tomografi depresyon indeksi ve kaburga kemiği uzunluğu-kostal kıkırdak uzunluğu oranı indeksi arasında hafif düzeyde anlamlı negatif bir ilişki vardı (p0.05). Sonuç: Beklenenin aksine, hasta ve kontrol grupları arasında kostal kıkırdak uzunluğu açısından anlamlı farklılık yoktu. Dolayısıyla, göğüs duvarı deformitelerinin şiddetinin belirlenmesinde kostal kıkırdak uzunluğunun etkili olup olmadığını ortaya koymak için daha geniş serili çalışmalar gereklidir.

Determination of severity of deformity with rib length to costal cartilage length ratio in thorax deformities

Background: This study aims to investigate whether rib length to costal cartilage length ratio is effective in determining the severity of chest wall deformity.Methods: The study included 72 patients (64 males, 8 females; mean age 18.5±6 years; range, 6 to 40 years) who were operated because of chest wall deformity and 38 control subjects (22 males, 16 females; mean age 14.6±4.2 years; range, 6 to 25 years). Of the patients, pectus excavatum was detected in 69 and pectus carinatum in three. All participants’ rib length -costal cartilage length ratio index, Haller index, correction index and computed tomography depression index were measured and compared.Results: In patient group, there was a mild- level significant negative relationship between computed tomography depression index and rib length-costal cartilage length ratio index (p0.05).Conclusion: Contrary to what would be expected, there was no significant difference between patient and control groups in terms of costal cartilage length. Therefore, studies with larger series are required to demonstrate if costal cartilage length is effective in determining the severity of chest wall deformities.

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