Patient satisfaction and clinical results 10 years after modified open thoracoplasty for pectus deformities

Abstract

This study retrospectively shows that this modification of the Ravitch approach is a safe and effective treatment option for pectus deformities with long-term satisfactory results for the patients without the need for bar removal.

Ravitch versus Nuss procedure for pectus excavatum: systematic review and meta-analysis

“…Psychological symptoms resulting from body image issues are common and can severely curtail the quality of life of some individuals (2). Physiological limitations caused by this deformity, particularly cardiovascular (3) and pulmonary impairments (4), have meant that correction of pectus excavatum can play a major role in improving the physical activity and quality of life of patients.…”

Pectus excavactum-insights into its diagnosis and the current treatment options along with its clinical outcomes: two case reports

“…Notwithstanding, Sternal allogeneic bone grafts have proven to be an effective and biologically well-tolerated option for sternal replacement. 5,23,28 In addition, several reports have questioned the necessity of radiographic studies with the use of chest x-rays which are taken after instrumentation in or around the thoracic cavity which was driven by concerns for radiation exposure, particularly in the pediatric population with a retrospective study which demonstrated that the postoperative chest x-rays were unnecessary following bar placement unless respiratory symptoms were present. 29 Invariably also, cardiac magnetic resonance imaging is currently been the reference standard for anatomic and functional cardiac assessments as several PE defects are more than likely to impair right ventricular function.…”

“…[1][2][3][4][5][6][7][8][9][10][11][12] However, the depression on the sternum can displace the heart; cause a decrease in the right ventricular functions of the heart and also a decrease in pulmonary functions too due to the decrease in thoracic volume. 2,3 Nevertheless, PE cases have mostly been a cosmetic defect including issues regarding body image which may significantly impact a person's quality of life, low self-esteem, and increased psychosocial problems with PE patients mostly complaining of chest pain, difficulty breathing, decreased cardiac output and decreased exercise capacity depending on its severity.…”

“…2,3 Nevertheless, PE cases have mostly been a cosmetic defect including issues regarding body image which may significantly impact a person's quality of life, low self-esteem, and increased psychosocial problems with PE patients mostly complaining of chest pain, difficulty breathing, decreased cardiac output and decreased exercise capacity depending on its severity. [4][5][6][13][14][15][16][17] Morphological differences in pectus excavatum may result in different effects on pulmonary function as well as cardiac morphology and function. 5,6 Symptoms of untreated patients can progress with age, and it's recommended that the deformity is surgically treated in both young and adult patients.…”

“…[4][5][6][13][14][15][16][17] Morphological differences in pectus excavatum may result in different effects on pulmonary function as well as cardiac morphology and function. 5,6 Symptoms of untreated patients can progress with age, and it's recommended that the deformity is surgically treated in both young and adult patients. 2 In light of this, a number of clinical studies have shown improvement of pulmonary and/or cardiovascular symptoms and patient quality of life after surgical repair.…”