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经皮软骨成形术治疗肋骨前凸（翼状肋）

Ribs with Anterior Protrusion (Winged Ribs) Treated Using Percutaneous Chondroplasty.

作者信息

Manzaneda Cipriani Raúl M, Adrianzen Gerardo A

机构信息

From Private Practice, Lima, Perú.

Plastic Surgeon, Private Practice, Lima, Perú.

出版信息

Plast Reconstr Surg Glob Open. 2024 Sep 24;12(9):e6178. doi: 10.1097/GOX.0000000000006178. eCollection 2024 Sep.

DOI:10.1097/GOX.0000000000006178
PMID:39318445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11421723/
Abstract

BACKGROUND

Thoracic features play a significant role in determining various plastic surgery techniques. Particularly, the thorax has potential for excessive anterior projection, commonly referred to as winged ribs. This study aimed to describe a treatment method for addressing winged ribs for aesthetic purposes using percutaneous chondral management.

METHODS

Thirty-two female patients underwent FrontXribs from February to March 2023. Two angular measurements were obtained: (1) the angle formed by lines intersecting tangentially to the shoulder and the lower gluteal border; and (2) the angle formed by a line tangential to the greatest anterior projection, intersected by a vertical line on the standing axis. Length measurements were obtained using a tape measure at the position of the greatest thoracic projection. Pulmonary function studies were conducted. All variables were measured before surgery and 6 months postoperatively.

RESULTS

On average, patients were 25 years old. The average operative time was 51.1 minutes, and all patients underwent general anesthesia. The average increase for angular measurement 1 was 26.1 degrees, whereas that for angular measurement 2 was 3.43 degrees. The average decrease in anterior chest length during the postoperative period was 9.66 cm ( < 0.001). Spirometric tests showed no significant changes 6 months postoperatively.

CONCLUSIONS

The FrontXribs technique for treating winged ribs effectively reduces anterior costal protrusion, as evidenced by the angular variation of projections and the reduction in thoracic length at this level. No adverse effects on respiratory function were observed 6 months postoperatively.

摘要

背景

胸部特征在确定各种整形手术技术中起着重要作用。特别是，胸部有过度前凸的可能性，通常称为翼状肋骨。本研究旨在描述一种通过经皮软骨处理来解决翼状肋骨以达到美学目的的治疗方法。

方法

2023年2月至3月，32名女性患者接受了FrontXribs手术。获得了两个角度测量值：（1）与肩部和下臀缘相切的线所形成的角度；（2）与最大前凸处相切的线与站立轴上的垂直线相交所形成的角度。在胸部最大突出部位使用卷尺进行长度测量。进行了肺功能研究。所有变量均在手术前和术后6个月进行测量。

结果

患者平均年龄为25岁。平均手术时间为51.1分钟，所有患者均接受全身麻醉。角度测量1的平均增加量为26.1度，而角度测量2的平均增加量为3.43度。术后前胸长度的平均减少量为9.66厘米（<0.001）。肺活量测定试验显示术后6个月无显著变化。

结论

FrontXribs技术治疗翼状肋骨可有效减少前肋突出，这在突出角度变化和该水平胸部长度减少中得到了证实。术后6个月未观察到对呼吸功能的不良影响。

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