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.