hub sciencedirect scopus applications register login login go to scival suite username: password: remember me | not registered? Forgotten your username or password? Go to athens / institution login remote access activation home publications search my settings my alerts shopping cart help export citation purchase more options... Email article signed up for journal alerts [remove] alert me about new articles in this journal your selection(s) could not be saved due to an internal error. Please try again. Search     all fields     author advanced search     journal/book title     volume   issue   page search tips article outline is loading... Javascript required for article outline paediatric respiratory reviews volume 10, issue 1, march 2009, pages 3–6 mini-symposium: medical and surgical aspects of chest wall deformities pectus excavatum: pathophysiology and clinical characteristics anastassios c. Koumbourlis , division of pediatric pulmonary medicine, schneider children's hospital, north shore-long island jewish health system, albert einstein college of medicine, 865 northern boulevard, great neck, ny 11021, usa available online 7 february 2009 how to cite or link using doi permissions & reprints view full text purchase $31. 50 introduction epidemiology pathogenesis pathophysiology clinical presentation diagnosis treatment postoperative effects of the surgical repair conclusion references summary pectus excavatum is the most common congenital abnormality of the chest wall. In the majority of the cases the condition is idiopathic. Affected patients tend to have lung volumes that are mildly decreased but within the normal range and they are often associated with mild air-trapping. Many patients show evidence of lower airway obstruction. Exercise intolerance is the most common symptom associated with pectus excavatum, and it is now believed to be due to cardiovascular rather than pulmonary causes. The psychological effect of the deformity often exceeds its actual physical effect. Several surgical techniques are available for the repair of the deformity, although the need for it is still considered controversial by many. The current article provides an in depth review of the pathophysiology and clinical characteristics of pectus excavatum, as well as an overview of the treatment options in order to help the practitioners caring of affected patients in their evaluation. Keywords pectus excavatum; chest wall deformity; exercise intolerance; lung function figures and tables from this article: table 1. cheap generic viagra viagra online generic viagra buy cheap viagra cheap viagra online buy viagra online cheap generic viagra Clinical characteristics and lung function in patients with idiopathic pectus excavatum adapted from koumbourlis and stolar 4. Tlc, total lung capacity; rv, residual volume; fev1, forced expiratory volume in first second; fvc, forced vital capacity; fef25–75: forced expiratory flow between 25–75% of fvc; pefr, peak expiratory flow rat.
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