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A Concoction Pipeline for Generating Molecular Operational Taxonomic Units (MOTUs) Among Riparian and Aquatic Beetles
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Nuss bar migrations: occurrence and classification.

Lauren E Binkovitz1, Benjamin Zendejas2, Christopher R Moir2

  • 1Department of Radiology, Mayo Clinic, 200 First St. S.W., Rochester, MN, 55902, USA.

Pediatric Radiology
|September 1, 2016
PubMed
Summary
This summary is machine-generated.

Nuss bar migration occurred in 7% of pediatric patients after pectus excavatum repair. Careful radiograph review is crucial to diagnose true bar migration and exclude positioning changes.

Keywords:
Chest wall deformityChildrenNuss barPectus excavatumRadiography

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Area of Science:

  • Thoracic surgery
  • Pediatric surgery
  • Medical imaging

Background:

  • Pectus excavatum involves sternal deviation, potentially causing cosmetic issues and cardiopulmonary problems.
  • The Nuss procedure uses a metal bar for minimally invasive pectus deformity correction.

Purpose of the Study:

  • To determine the incidence and types of Nuss bar migrations.
  • To introduce a novel classification for bar migrations.
  • To differentiate true migrations from pseudomigrations.

Main Methods:

  • Retrospective review of medical records and radiographs from 311 pediatric patients.
  • Evaluation of Nuss bar migration frequency and characteristics.

Main Results:

  • Bar migration was observed in 7% (23/311) of patients, typically within 26 days post-surgery.
  • A new classification system identified migration types: superior, inferior, rotation, lateral, or flipped.
  • Sixteen of the 23 migrations necessitated re-operation.

Conclusions:

  • Nuss bar migration diagnosis relies on serial radiograph assessment.
  • Diverse presentations of bar migration require differentiating true displacement from pseudomigration due to patient positioning changes.