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Congenital chest wall malformations in Nigerians
1Department of Surgery, University of Ilorin and Teaching Hospital, Nigeria.
African Journal of Medicine and Medical Sciences
|December 1, 1989
Summary
Congenital chest wall malformations, including rib and sternocostal defects, occurred in approximately 1.01% of patients studied. Most cases presented with common perinatal causes of death, with some requiring surgical intervention.
Area of Science:
- Pediatric Surgery
- Congenital Malformations
- Thoracic Surgery
Background:
- Congenital chest wall malformations represent a spectrum of developmental abnormalities.
- Prospective studies are crucial for understanding the incidence and patterns of these conditions.
Purpose of the Study:
- To prospectively investigate the pattern and incidence of congenital chest wall malformations.
- To document various types of chest wall defects and associated conditions.
Main Methods:
- Prospective study conducted at the University of Ilorin Teaching Hospital (1983-1987).
- Inclusion of clinical cases (20) from radiographic and cardiothoracic surgery data, and autopsy cases (15) from perinatal malformation studies.
- Total of 35 cases analyzed for specific malformations.
Main Results:
- Identified malformations include supernumerary ribs, absent/defective ribs, and sternocostal deformities.
- Observed cases of thoracic/thoraco-lumbar scoliosis with neonatal dwarfism and short ribs.
- Rare conditions like Cantrell's pentalogy and Poland's Syndrome were noted, with some cases awaiting surgical reconstruction.
Conclusions:
- The overall incidence of congenital chest wall malformations in the study population was approximately 1.01%.
- Most malformations were associated with typical perinatal causes of death, except for cases with severe, life-incompatible anomalies.
- The study highlights the diversity of chest wall malformations and the need for timely surgical intervention in selected cases.