INDICATIONS FOR SURGERY AND SURGICAL-CORR ECTION OF INFUNDIBULIFORM CHEST DEFORMITY IN CHILDREN

Based on the survey of 104 patients, a method has been dveloped for ea rly diagnosis of progression of infundibuliform chest deformity (ICD), which defines indications for thoracoplasty in children over 2 years. A differential approach has been applied to the stabilization of the sternocostal complex, taking into account various ICD types. Experienc e in surgical management of 247 patients with simple and complex ICD t ypes has been generalized. A procedure has been improved to stabilize the sternocostal complex with a metallic plate in critical ICD types. The sparing thoracoplasty variants have been developed for simple ICD types and Degree I progressive ICD ones, stabilizing the sternocostal complex with a niticolic brace and a CPK-22 apparatus in the modified resistant case.