Improvement of treatment tactics for severe degrees of pectus excavatum in preschool-aged children

Bahromjon, Mirzakarimov, Nuriddin, Isakov, Juraqul, Djumabaev, Doniyorbek, Karimov, Бахромжон, Мирзакаримов, Нуриддин, Исаков, Журакул, Джумабаев, Дониёрбек, Каримов, Bahromjon, Mirzakarimov, Nuriddin, Isakov, Juraqul, Djumabaev, Doniyorbek, Karimov

Халқаро илмий педиатрия журнали · 2026-yil

Annotatsiya

The pathogenesis of pectus excavatum involves not only osteochondral structures but also the soft tissue components of the anterior chest wall, including the sternodiaphragmatic ligament, which plays an important role. The aim of this study was to improve the treatment strategy for severe forms of pectus excavatum (PE) in preschool-aged children. Clinical material: the treatment outcomes of 30 children aged 1 to 6 years diagnosed with grade III–IV pectus excavatum were analyzed. Methods: the degree of deformity was determined using multislice computed tomography (MSCT). In all patients, the morphological and functional status of the sternodiaphragmatic ligament (SDL) was additionally assessed by ultrasonography (US). Based on these findings, an individualized treatment strategy was selected. In patients with grade III–IV deformities and the presence of contracture and fibrotic changes of the SDL, ligament release was performed followed by correction using the vacuum bell technique. Results: In preschool-aged children with severe pectus excavatum, assessment of the sternodiaphragmatic ligament using ultrasonography is of great importance for selecting the appropriate treatment strategy. In patients with a morphologically preserved ligament, vacuum bell therapy was effective, whereas in cases with fibrotic changes and contracture, the use of vacuum bell correction combined with ligament release provided significantly better clinical and anatomical outcomes. Statistical analysis of the obtained results demonstrated a significant association between anterior chest wall deformation and mechanical stresses and the severity of the deformity. According to MSCT and computational biomechanical modeling, both the compression depth and the maximum von Mises stress values increased in a statistically significant manner with increasing deformity severity (p < 0.01). Compared with patients with grade II deformity, those with grade III–IV deformities showed significantly higher compression depth values at the central anatomical points (P3–P5) (p < 0.01), while the differences at the peripheral points (P1–P2) were less pronounced (p < 0.05). This indicates that mechanical loading is predominantly concentrated in the central regions of the anterior chest wall. Conclusion: In the treatment of severe pectus excavatum in preschool-aged children, an individualized approach based on ultrasonographic evaluation of the sternodiaphragmatic ligament demonstrates high clinical efficacy, reduces the extent of invasive surgical interventions, and expands the possibilities for early correction.

Maqola ma’lumotlari
MualliflarBahromjon, Mirzakarimov, Nuriddin, Isakov, Juraqul, Djumabaev, Doniyorbek, Karimov, Бахромжон, Мирзакаримов, Нуриддин, Исаков, Журакул, Джумабаев, Дониёрбек, Каримов, Bahromjon, Mirzakarimov, Nuriddin, Isakov, Juraqul, Djumabaev, Doniyorbek, Karimov
JurnalХалқаро илмий педиатрия журнали
NashriyotАндижон давлат тиббиёт институти; In Science МЧЖ
ISSN2181-2926, 2181-2926
Nashr sanasi2026-01-19
Jild5
Son1
Betlar1186-1191
TilIngliz
Ilmiy sohaTibbiyot
DOI10.56121/2181-2926-2026-5-1-1186-1191
Indeksga qo‘shilgan2026-08-26

DOI: 10.56121/2181-2926-2026-5-1-1186-1191 · Maqolaning asl sahifasi

Kalit so‘zlar

воронкообразная деформaция грудной клетки, дошкольный возраст, грудино-диафрагмальная связка, ультразвуковое исследование, Vacuum Bell, контрактура, pectus excavatum, preschool age, sternodiaphragmatic ligament, ultrasonography, vacuum bell, contracture, ko‘krak qafasi girdobsimon deformatsiyasi, maktabgacha yosh, to‘sh-diafragmal bog‘lam, ultratovush tekshiruvi, vacuum bell, kontraktura

Ilmiy soha

Tibbiyot

Iqtibos keltirish

APABahromjon, Mirzakarimov, Nuriddin, Isakov, Juraqul, Djumabaev, Doniyorbek, Karimov, Бахромжон, Мирзакаримов, Нуриддин, Исаков, Журакул, Джумабаев, Дониёрбек, Каримов, Bahromjon, Mirzakarimov, Nuriddin, Isakov, Juraqul, Djumabaev, & Doniyorbek, Karimov (2026). IMPROVEMENT OF TREATMENT TACTICS FOR SEVERE DEGREES OF PECTUS EXCAVATUM IN PRESCHOOL-AGED CHILDREN. Халқаро илмий педиатрия журнали, 5(1), 1186-1191. https://doi.org/10.56121/2181-2926-2026-5-1-1186-1191
GOST (OAK)Bahromjon, Mirzakarimov va b. IMPROVEMENT OF TREATMENT TACTICS FOR SEVERE DEGREES OF PECTUS EXCAVATUM IN PRESCHOOL-AGED CHILDREN // Халқаро илмий педиатрия журнали. – 2026. – T. 5, № 1. – P. 1186-1191. – DOI: 10.56121/2181-2926-2026-5-1-1186-1191.
MLABahromjon, Mirzakarimov, Nuriddin, Isakov, Juraqul, Djumabaev, Doniyorbek, Karimov, Бахромжон, Мирзакаримов, Нуриддин, Исаков, Журакул, Джумабаев, Дониёрбек, Каримов, Bahromjon, Mirzakarimov, Nuriddin, Isakov, Juraqul, Djumabaev, and Doniyorbek, Karimov. “IMPROVEMENT OF TREATMENT TACTICS FOR SEVERE DEGREES OF PECTUS EXCAVATUM IN PRESCHOOL-AGED CHILDREN.” Халқаро илмий педиатрия журнали, 5(1), 1186-1191, 2026. https://doi.org/10.56121/2181-2926-2026-5-1-1186-1191
ChicagoBahromjon, Mirzakarimov, Nuriddin, Isakov, Juraqul, Djumabaev, Doniyorbek, Karimov, Бахромжон, Мирзакаримов, Нуриддин, Исаков, Журакул, Джумабаев, Дониёрбек, Каримов, Bahromjon, Mirzakarimov, Nuriddin, Isakov, Juraqul, Djumabaev, and Doniyorbek, Karimov. “IMPROVEMENT OF TREATMENT TACTICS FOR SEVERE DEGREES OF PECTUS EXCAVATUM IN PRESCHOOL-AGED CHILDREN.” Халқаро илмий педиатрия журнали, 5(1), 1186-1191 (2026). https://doi.org/10.56121/2181-2926-2026-5-1-1186-1191
HarvardBahromjon, Mirzakarimov, Nuriddin, Isakov, Juraqul, Djumabaev, Doniyorbek, Karimov, Бахромжон, Мирзакаримов, Нуриддин, Исаков, Журакул, Джумабаев, Дониёрбек, Каримов, Bahromjon, Mirzakarimov, Nuriddin, Isakov, Juraqul, Djumabaev, and Doniyorbek, Karimov (2026) ‘IMPROVEMENT OF TREATMENT TACTICS FOR SEVERE DEGREES OF PECTUS EXCAVATUM IN PRESCHOOL-AGED CHILDREN’, Халқаро илмий педиатрия журнали, 5(1), 1186-1191. https://doi.org/10.56121/2181-2926-2026-5-1-1186-1191
BibTeX
@article{bahromjonmirzakarimov2026,
  title = {IMPROVEMENT OF TREATMENT TACTICS FOR SEVERE DEGREES OF PECTUS EXCAVATUM IN PRESCHOOL-AGED CHILDREN},
  author = {Bahromjon, Mirzakarimov and Nuriddin, Isakov and Juraqul, Djumabaev and Doniyorbek, Karimov and Бахромжон, Мирзакаримов and Нуриддин, Исаков and Журакул, Джумабаев and Дониёрбек, Каримов and Bahromjon, Mirzakarimov and Nuriddin, Isakov and Juraqul, Djumabaev and Doniyorbek, Karimov},
  journal = {Халқаро илмий педиатрия журнали},
  year = {2026},
  volume = {5},
  number = {1},
  pages = {1186-1191},
  doi = {10.56121/2181-2926-2026-5-1-1186-1191},
  url = {https://doi.org/10.56121/2181-2926-2026-5-1-1186-1191}
}

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