Clinical and radiographic poland syndrome classification: a proposal.
Background: Many chest wall deformities have a characteristic radiologic appearance that can be the basis for a definitive diagnosis. Consequently, imaging techniques have fundamental roles in the detection, location, and characterization of these disorders.Objective: The authors propose a clinical...
| Publicado en: | Aesthetic Surgery Journal Vol. 29; no. 6; pp. 494 - 505 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Oxford University Press / USA
Nov2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105255136&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105255136 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1090820X 1XDY jtl: Aesthetic Surgery Journal issn: 1090820X maglogo: N pubinfo: dt: Nov2009 vid: 29 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 105255136 NLM19944994 2010492633 10.1016/j.asj.2009.09.015 NLM19944994 105255136 ppf: 494 ppct: 11 formats: tig: atl: Clinical and radiographic poland syndrome classification: a proposal. aug: au: Ribeiro RC Saltz R Mangles MG Koch H Ribeiro, Ricardo Cavalcanti Saltz, Renato Mangles, M Gabriela Moreira Koch, Hilton affil: Division of Plastic and Reconstructive Surgery, Hospital Santa Casa da Misericórdia do Rio de Janeiro sug: subj: Breast Abnormalities Breast Surgery Pectoralis Muscles Abnormalities Pectoralis Muscles Surgery Poland Syndrome Classification Poland Syndrome Surgery Surgery, Reconstructive Methods Adolescence Adult Child Female Human Medical Illustration Middle Age Poland Syndrome Radiography Protocols Retrospective Design Severity of Illness Indices Treatment Outcomes Young Adult Adolescent: 13-18 years Adult: 19-44 years Child: 6-12 years Middle Aged: 45-64 years Female ab: Background: Many chest wall deformities have a characteristic radiologic appearance that can be the basis for a definitive diagnosis. Consequently, imaging techniques have fundamental roles in the detection, location, and characterization of these disorders.Objective: The authors propose a clinical and radiographic Poland syndrome (CRPS) classification system and possible treatment algorithm for the thoracic manifestations of Poland syndrome (PS) in women, based on both clinical examinations and imaging studies.Methods: A retrospective study was conducted of 28 female patients evaluated over 17 years in the 28th Infirmary, Plastic and Reconstructive Surgery Division of the Hospital Santa Casa da Misericórdia do Rio de Janeiro, Rio de Janeiro, Brazil. After clinical examination, all patients underwent radiographic examination with chest radiographs, conventional computed tomography scans, magnetic resonance imaging and, in some cases, additional imaging studies. All clinical and radiologic variables were compiled in a database and used in the classification system, which included three levels of disease severity.Results: Based on the CRPS classification of the 28 female patients, 10 patients had first-degree PS, 14 patients had second-degree PS, and four patients had third-degree PS. Eighteen patients underwent surgical correction; a total of 39 surgical procedures were performed using the CRPS algorithm.Conclusions: Identification of the severity of PS using the proposed classification system provided an accurate study of each patient and enabled better planning for the surgical correction of functional and aesthetic deformities. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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