LONG-TERM RESULTS AFTER OPERATION FOR FUNNEL CHEST

Citation
M. Goertzen et al., LONG-TERM RESULTS AFTER OPERATION FOR FUNNEL CHEST, Archives of orthopaedic and trauma surgery, 112(6), 1993, pp. 289-291
Citations number
13
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Orthopedics,Surgery
ISSN journal
0936-8051
Volume
112
Issue
6
Year of publication
1993
Pages
289 - 291
Database
ISI
SICI code
0936-8051(1993)112:6<289:LRAOFF>2.0.ZU;2-R
Abstract
The cases of 36 out of 62 patients who underwent surgical correction o f funnel chest deformity between 1978 and 1988 with an average follow- up of 7.6 years were reviewed. The mean age at which the Hegemann oper ation was performed was 14.1 years. Preoperative cardiorespiratory dis orders were reported by 76% of patients, while 71% showed electrocardi ographic and pulmonary alterations. Postoperatively, cardiorespiratory disorders were significantly reduced, but the electrocardiographic ch anges were not. The pre- and postoperative radiological and functional measurements of the chest deformity which allow an objective evaluati on of the surgical result are described. Surgical treatment is indicat ed in most cases of funnel chest deformity, for cosmetic or psychologi cal reasons. The long-term results were good or fair in 90% or more of our cases. We suggested that disfiguring scars with keloid formation cause less psychological distress than persistent congenital malformat ion of the chest.