Scientific paperManagement of pectus chest deformities in female patients
Section snippets
Methods
The medical records of all female patients who underwent repair of PE and PC deformities at UCLA Medical Center from January 1970 through April 2003 were retrospectively reviewed. During this 33-year period 104 females underwent repair of PE, and 21 had correction of PC deformities. Five females with Poland's syndrome were excluded from the review. Ninety-three patients underwent repair within the past 8 years. During this same period 645 males underwent repair of pectus deformities. The ages
Results
An attempt was made to contact each of the 125 patients by telephone, e-mail, or questionnaire from 5 months to 14 years after operation (mean follow-up - 6 years). Responses were obtained from 112 of the patients (90%). Twelve of the patients could not be located. One hundred seven of the 112 patients who responded indicated that they considered the result after repair to be very good or excellent (96%), and that they would recommend repair of pectus deformities to other patients (Fig. 4, Fig.
Comments
Symptoms from PE are uncommon during early childhood unless the patient is one of the few in whom the depression is unusually severe. Repair of PE in preadolescent asymptomatic patients using techniques that resect a major portion of the deformed costal cartilages have been discouraged in recent years because removing large segments of costal cartilage in young children may interfere with the rib growth and produce a narrow chest [9]. Haller et al [10] have cautioned against extensive cartilage
References (12)
- et al.
Pectus excavatum repair. Experience with standard and minimal invasive techniques
J Pediatr Surg
(2001) - et al.
Use of CT scans in selection of patients for pectus excavatum surgerya preliminary report
J Pediatr Surg
(1987) - et al.
Chest wall constriction after too extensive and too early operations for pectus excavatum
Ann Thorac Surg
(1996) - et al.
Surgical management of pectus carinatum. 30 years experience
World J Surg
(2001) Current management of pectus excavatum
World J Surg
(2003)- et al.
Repair of recurrent pectus deformities
Am Surg
(2002)