Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Feb;49(1):29-34.
doi: 10.5090/kjtcs.2016.49.1.29. Epub 2016 Feb 5.

Pectus Excavatum and Pectus Carinatum: Associated Conditions, Family History, and Postoperative Patient Satisfaction

Pinar Kuru  1 , Aylin Cakiroglu  2 , Aynur Er  2 , Hincal Ozbakir  2 , Ali Emin Cinel  2 , Busra Cangut  2 , Merve Iris  2 , Berkay Canbaz  2 , Ebru Pıçak  2 , Mustafa Yuksel  3
Affiliations

Pectus Excavatum and Pectus Carinatum: Associated Conditions, Family History, and Postoperative Patient Satisfaction

Pinar Kuru et al. Korean J Thorac Cardiovasc Surg. 2016 Feb.

Abstract

Background: Pectus excavatum (PE) and pectus carinatum (PC) are the most common chest wall deformities. In this study, we aimed to characterize how patients obtained information about these deformities, as well as patients' family history, associated medical problems, and postoperative satisfaction after the Nuss and Abramson procedures.

Methods: This cross-sectional retrospective study included patients who were operated by a single surgeon between 2006 and 2013. Follow-up calls were made after approval of our institution's ethics committee. We reached 207 of the 336 PE patients (61.6%) and 73 of the 96 PC patients (76%).

Results: The majority of the patients were male (85% of the PE patients and 91.8% of the PC patients). The age of diagnosis of PE was 14.52±0.51 years and the age at the time of operation was 17.89±0.42 years; for PC patients, the corresponding ages were 15.23±0.55 years and 16.77±0.55 years, respectively. A total of 70% of the PE patients and 63.8% of the PC patients obtained information about pectus deformities through the Internet. In 27.1% of the PE patients with an associated anomaly, 57.1% (n=13) had scoliosis, while 41.1% of the PC patients with an associated anomaly had kyphosis (n=5). Postoperative satisfaction, as evaluated on a scale from 0 to 10, was 8.17±0.15 for PE patients and 8.37±0.26 for PC patients. The postoperative pain duration was 51.93±5.18 days for PE patients and 38.5±6.88 days for PC patients.

Conclusion: In this study, we found that most patients with pectus deformities were male. The Internet was an important resource for patients to learn about their deformities. Family history and associated anomalies were identified as important aspects for consideration in the clinical setting. The patients reported high levels of postoperative satisfaction, and pain management was found to be one of the most important elements of postoperative care.

Keywords: Funnel chest; Pectus carinatum.

PubMed Disclaimer

References

    1. Robicsek F, Watts LT, Fokin AA. Surgical repair of pectus excavatum and carinatum. Semin Thorac Cardiovasc Surg. 2009;21:64–75. doi: 10.1053/j.semtcvs.2009.03.002. - DOI - PubMed
    1. Fokin AA, Steuerwald NM, Ahrens WA, Allen KE. Anatomical, histologic, and genetic characteristics of congenital chest wall deformities. Semin Thorac Cardiovasc Surg. 2009;21:44–57. doi: 10.1053/j.semtcvs.2009.03.001. - DOI - PubMed
    1. Hanna WC, Ko MA, Blitz M, Shargall Y, Compeau CG. Thoracoscopic Nuss procedure for young adults with pectus excavatum: excellent midterm results and patient satisfaction. Ann Thorac Surg. 2013;96:1033–6. doi: 10.1016/j.athoracsur.2013.04.093. - DOI - PubMed
    1. Williams AM, Crabbe DC. Pectus deformities of the anterior chest wall. Paediatr Respir Rev. 2003;4:237–42. doi: 10.1016/S1526-0542(03)00053-8. - DOI - PubMed
    1. Demirkaya A, Simsek F, Ersen E, et al. The factors determining the complications in the minimally invasive surgical correction of pectus excavatum. Turk J Thorac Cardiovasc Surg. 2011;19:201–6. doi: 10.5606/tgkdc.dergisi.2011.013. - DOI

LinkOut - more resources