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Related Concept Videos

Pneumothorax-I01:26

Pneumothorax-I

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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
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Pneumothorax-II01:27

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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
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Flail Chest-I01:24

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
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Flail Chest-II01:26

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Endoscopic Studies II: Thoracocentesis01:26

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Related Experiment Video

Updated: Mar 27, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
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Thoracic Insufficiency Syndrome.

Oscar Mayer1, Robert Campbell2, Patrick Cahill2

  • 1Division of Pulmonology, The Children's Hospital of Philadelphia, 3510 Civic Center Boulevard, Colket 11309, Philadelphia, PA 19104.

Current Problems in Pediatric and Adolescent Health Care
|January 10, 2016
PubMed
Summary
This summary is machine-generated.

Thoracic insufficiency syndrome (TIS) requires innovative treatments. The Vertical Expandable Prosthetic Titanium Rib (VEPTR) offers significant skeletal correction for chest wall and spine deformities, stabilizing the condition.

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Area of Science:

  • Pediatric Orthopedics
  • Thoracic Surgery
  • Biomedical Engineering

Background:

  • Thoracic insufficiency syndrome (TIS) encompasses diverse disorders affecting the chest wall and spine.
  • These conditions significantly impact respiratory capacity and development, often requiring early childhood intervention.
  • Traditional treatments struggle to balance deformity correction with growth preservation.

Purpose of the Study:

  • To evaluate the efficacy of the Vertical Expandable Prosthetic Titanium Rib (VEPTR) system in managing TIS.
  • To assess the VEPTR system's ability to correct both spinal and chest wall deformities while preserving growth capacity.
  • To analyze the functional outcomes, including quality of life and pulmonary function, following VEPTR implantation.

Main Methods:

  • Surgical implantation of the VEPTR system to address complex thoracospinal deformities.
  • Concurrent correction of associated chest wall and spinal abnormalities.
  • Longitudinal assessment of skeletal alignment, pulmonary function tests, and quality of life metrics.

Main Results:

  • The VEPTR system achieved dramatic skeletal correction in patients with TIS.
  • Functional outcomes, such as quality of life and pulmonary function, showed stabilization rather than dramatic improvement.
  • VEPTR implantation demonstrated consistent control over the progressive nature of TIS.

Conclusions:

  • The VEPTR system provides significant skeletal correction for severe TIS.
  • While functional gains may be modest, VEPTR effectively stabilizes progressive thoracospinal disorders.
  • This approach represents a paradigm shift in managing complex pediatric chest wall and spinal deformities.