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Growth spurt-related recurrence after Nuss procedure. 2009
Tetsuya Ishimaru, and
Yoshihiro Kitano, and
Hiroo Uchida, and
Hiroshi Kawashima, and
Chikashi Gotoh, and
Kaori Satoh, and
Mariko Yoshida, and
Ayanori Sugita, and
Tadashi Iwanaka
Department of Pediatric Surgery, Saitama Children's Medical Center, Saitama, Japan. i-tetsuya@umin.ac.jp
We report 2 cases of growth spurt-related recurrence after Nuss procedure. Each of the 2 cases underwent bar insertion at the age of 6 and 11 years, respectively. The support bar was removed 2 years later followed by severe redepression during the growth spurt. One patient underwent redo Nuss procedure elsewhere. The other patient was diagnosed as idiopathic precocious puberty and is in treatment. The possibility of growth spurt-related recurrence must be explained to those who undergo early correction before surgery, and follow-up is mandatory at least until patients' puberty is over.
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