StayCurrentMD · Long-Term Sensory Function 3 years after Minimally Invasive Repair of Pectus Excavatum with Cryoablation
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Video1 min·Published Jun 2024Older

Long-Term Sensory Function 3 years after Minimally Invasive Repair of Pectus Excavatum with Cryoablation

With Dr. Kim Priban

Chapter 1 of 3 · Evidence & Research

Introduction and Context

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What the experts said12 expert statements
Repair of pectus excavatum using minimally invasive techniques with intercostal nerve cryoablation decreases patient length of stay and opioid use
ClinicalKim Priban
This was a single institution prospective cohort study of 47 patients under 21 years of age
ClinicalKim Priban
Patients presented for bar removal after a median of two bars were placed for 2.9 years
ClinicalKim Priban
The study assessed patients for chest wall hypoesthesia to cold, soft touch, and pinprick, as well as neuropathic pain
ClinicalKim Priban
46.8% of patients had identifiable chest wall hypoesthesia
ClinicalKim Priban
9.3% of patients had hypoesthesia to cold response
ClinicalKim Priban
7.7% of patients had hypoesthesia to soft touch
ClinicalKim Priban
11.8% of patients had hypoesthesia to pinprick
ClinicalKim Priban
Neuropathic pain symptoms were identified in 13% of patients
ClinicalKim Priban
None of the patients with neuropathic pain symptoms required treatment
ClinicalKim Priban
Pediatric patients who underwent minimally invasive repair with cryoablation will often develop some small areas of hypoesthesia
ClinicalKim Priban
Clinically significant neuropathic pain is rare after minimally invasive pectus excavatum repair with cryoablation
ClinicalKim Priban