AI Article Synopsis

  • Pectus excavatum (PE) can lead to breathing issues, especially in patients like a 74-year-old woman with a history of the condition and oropharyngeal cancer surgery.
  • After experiencing breathing difficulties, imaging revealed severe PE and a narrowed right main bronchus.
  • A Nuss procedure was successfully performed to repair PE and relieve bronchial stenosis, resulting in improved structure observed on follow-up CT scans and reduced shortness of breath.

Article Abstract

Pectus excavatum (PE) causes cardiopulmonary dysfunction depending on the degree and form of the depression. The patient was a 74-year-old woman with a history of PE. Fourteen years ago, a total glossolaryngectomy was performed for oropharyngeal cancer. Two years later, the patient gradually experienced difficulty in breathing. Computed tomography (CT) revealed severe PE and right main bronchial stenosis. We performed a Nuss procedure for PE repair to surgically release the stenosis of the right main bronchus. Postoperative chest CT showed improvement in the sternal depression and right main bronchial stenosis. Furthermore, shortness of breath was relieved postoperatively. Oropharyngeal cancer surgery may cause tracheal support disruption, leading to leftward shift and severe stenosis of the right main bronchus due to sternum depression. This is an important report regarding respiratory distress caused by a combination of PE and post-oropharyngeal cancer surgery.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10799248PMC
http://dx.doi.org/10.1093/jscr/rjad714DOI Listing

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