PMID- 32653161 OWN - NLM STAT- MEDLINE DCOM- 20210624 LR - 20210624 IS - 1531-5037 (Electronic) IS - 0022-3468 (Linking) VI - 56 IP - 4 DP - 2021 Apr TI - Description of a novel chest wall anomaly: The postprematurity thoracic dysplasia. PG - 700-705 LID - S0022-3468(20)30420-6 [pii] LID - 10.1016/j.jpedsurg.2020.06.008 [doi] AB - BACKGROUND/PURPOSE: Many studies on ex-preterm babies were conducted to evaluate their respiratory sequelae, but, to our knowledge, the condition described in this paper was never reported before and is not included in the classifications of thoracic anomalies proposed so far. METHODS: Clinical data and images of a novel thoracic deformity observed in the last 10 years are shown. This anomaly is characterized by an indentation of the ribs on both (less frequently one) anterolateral parts of the chest wall. All our patients with this condition were ex-preterm babies. We named this novel thoracic anomaly as "postprematurity thoracic dysplasia" (PPTD). Possible etiopathogenetic mechanisms and treatment options are discussed. RESULTS: We observed 8 patients with variable range of respiratory symptoms. In 2 cases the malformation caused a severe functional restriction of lung volumes and surgery was performed to improve respiratory symptoms; in other cases the symptoms were mild or absent and the malformation was a matter of concern only for cosmesis. CONCLUSIONS: PPTD is a novel thoracic anomaly typical of ex-preterms. Clinical relevance is variable. In severe cases surgery can be considered. LEVEL OF EVIDENCE: IV. CI - Copyright (c) 2020 Elsevier Inc. All rights reserved. FAU - Torre, Michele AU - Torre M AD - Pediatric Thoracic and Airway Surgery Unit, IRCCS Giannina Gaslini, Via G. Gaslini, 16147, Genova, Italy. Electronic address: micheletorre@gaslini.org. FAU - Guerriero, Vittorio AU - Guerriero V AD - Pediatric Thoracic and Airway Surgery Unit, IRCCS Giannina Gaslini, Via G. Gaslini, 16147, Genova, Italy. FAU - Ramenghi, Luca AU - Ramenghi L AD - Neonatal Pathology Unit, IRCCS Giannina Gaslini, Via G. Gaslini, 16147, Genova, Italy. FAU - Rizzo, Francesca AU - Rizzo F AD - Radiology Department, IRCCS Giannina Gaslini, Via G. Gaslini, 16147, Genova, Italy. FAU - Gallizia, Annalisa AU - Gallizia A AD - Pediatric Pneumology Unit, IRCCS Giannina Gaslini, Via G. Gaslini, 16147, Genova, Italy. FAU - Sacco, Oliviero AU - Sacco O AD - Pediatric Pneumology Unit, IRCCS Giannina Gaslini, Via G. Gaslini, 16147, Genova, Italy. LA - eng PT - Journal Article DEP - 20200613 PL - United States TA - J Pediatr Surg JT - Journal of pediatric surgery JID - 0052631 SB - IM MH - Humans MH - Infant, Newborn MH - Lung Volume Measurements MH - Ribs MH - *Thoracic Wall OTO - NOTNLM OT - Chest wall anomaly OT - Classification of thoracic deformities OT - Prematurity OT - Rib OT - Thoracic malformation OT - Thoracoplasty EDAT- 2020/07/13 06:00 MHDA- 2021/06/25 06:00 CRDT- 2020/07/13 06:00 PHST- 2020/04/24 00:00 [received] PHST- 2020/05/18 00:00 [revised] PHST- 2020/06/05 00:00 [accepted] PHST- 2020/07/13 06:00 [pubmed] PHST- 2021/06/25 06:00 [medline] PHST- 2020/07/13 06:00 [entrez] AID - S0022-3468(20)30420-6 [pii] AID - 10.1016/j.jpedsurg.2020.06.008 [doi] PST - ppublish SO - J Pediatr Surg. 2021 Apr;56(4):700-705. doi: 10.1016/j.jpedsurg.2020.06.008. Epub 2020 Jun 13.