Effect of the Nuss Procedure on the Physical Development of Patients with Pectus Excavatum

Purpose: This study assessed physical development of patients with pectus excavatum and evaluated the effect of the Nuss procedure on physical development.Methods: A total of 146 patients underwent the Nuss procedure; of these, at the time of the study, the bar had been removed from 123 patients (84...

Full description

Saved in:
Bibliographic Details
Published inAnnals of Thoracic and Cardiovascular Surgery Vol. 22; no. 6; pp. 327 - 332
Main Authors Kim, Hyun Koo, Yoon, Jee Young, Han, Kook Nam, Choi, Young Ho
Format Journal Article
LanguageEnglish
Published Japan The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 01.01.2016
Subjects
Adolescent
Adolescent Development
Age Factors
Body Height
Body Weight
chest wall
Child
Child Development
Child, Preschool
Female
Funnel Chest - diagnostic imaging
Funnel Chest - physiopathology
Funnel Chest - surgery
Humans
Male
Nuss procedure
Original
Orthopedic Procedures
pectus excavatum
physical development
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Online AccessGet full text

Cover

More Information
Summary:Purpose: This study assessed physical development of patients with pectus excavatum and evaluated the effect of the Nuss procedure on physical development.Methods: A total of 146 patients underwent the Nuss procedure; of these, at the time of the study, the bar had been removed from 123 patients (84.9%; male 93, female 30) who were eligible for participation in this study. Heights and body weights of patients were measured prior to surgery and immediately before bar removal. Chest computed tomography (CT) was performed preoperatively and immediately before bar removal. The associations between physical development and chest CT indices were evaluated.Results: The height standard deviation score (SDS) was − 0.66 ± 2.23 preoperatively and 0.04 ± 1.34 immediately before bar removal (p <0.01). The weight SDS was − 0.02 ± 2.59 preoperatively; it increased significantly to 0.56 ± 1.56 immediately before bar removal (p <0.01). The Haller index (3.85 ± 1.18 to 2.99 ± 0.54; p <0.01) and asymmetric index (9.75 ± 6.63 to 7.01 ± 4.77; p <0.01) also showed improvements.Conclusions: The Nuss procedure may contribute positively to the physical development of patients with pectus excavatum.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
E-mail: kimhyunkoo@korea.ac.kr
H.K. Kim and J.Y. Yoon contributed equally to this work.
ISSN:1341-1098
2186-1005
DOI:10.5761/atcs.oa.16-00012