Pectus Excavatum Surgery: Sternochondroplasty Versus Nuss Procedure

Coelho, Marlos de Souza; Silva, Ruy Fernando Kuenzer Caetano; Neto, Nelson Bergonse; Junior, Wilson de Souza Stori; Santos, Anna Flávia Ribeiro dos; Mendes, Rafael Garbelotto; Fernandes, Lucas de Matos

doi:10.1016/j.athoracsur.2009.07.051

Cited by 24 publications

(4 citation statements)

References 25 publications

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“…Coelho et al [19] reported that complications occurred in 15% of the Ravitch and 45% of the Nuss group; the complication rate was significantly higher in the Nuss group, consistent with the findings of this study. However, most complications were minor and could be managed without any significant residual defect.…”

Section: Discussionsupporting

confidence: 91%

“…There is no consensus on the indications for the use of these procedures. Although it is clear that the Nuss procedure has advantages as a minimally invasive procedure, disadvantages have also been reported in certain clinical situations; these include adult patients and in cases with asymmetrical types of a pectus excavatum [17-19]. Therefore, superiority of one procedure to the other remains controversial.…”

Section: Introductionmentioning

confidence: 99%

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Long-term Surveillance Comparing Satisfaction between the Early Experience of Nuss Procedure vs. Ravitch Procedure

Kang

Park

et al. 2012

Korean J Thorac Cardiovasc Surg

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BackgroundLong-term surveillance comparing satisfaction between the early experience of Nuss procedure vs. Ravitch procedure.Materials and MethodsA total of 100 patients that underwent surgical correction of a pectus excavatum between 2001 and 2004 and were followed for ≥2 years were included. Surveillance on the degree of satisfaction was performed using five-levels of the Likert scale and self-assessment scoring.ResultsNuss or Ravitch surgery was performed in 63 and 37 patients, respectively. The Nuss procedure required a shorter operation time and shorter hospital stay than the Ravitch procedure (p<0.001). The surveillance demonstrated that 17.6% of the Nuss group and 35.7% of the Ravitch group were not satisfied with the outcome of the surgery (p=0.072). The most common causes of dissatisfaction were redepression in the Nuss group (n=5) and incomplete correction in the Ravitch group (n=7). The multivariate analysis showed that reoperation and a high postoperative pectus index were significant risk factors for a low satisfaction score.ConclusionThe Nuss procedure had several advantages over the Ravitch procedure in the immediate postoperative period. However, the long-term satisfaction was determined by a complete correction without recurrence or need for re-intervention rather than by the operation type.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Long-term Surveillance Comparing Satisfaction between the Early Experience of Nuss Procedure vs. Ravitch Procedure

Kang

Park

et al. 2012

Korean J Thorac Cardiovasc Surg

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“…4 The deformity may be classified as symmetric or asymmetric. 18 PEx deformity may worsen as one ages, and symmetric lesions may progress to more complex, asymmetric deformities, resulting in postural abnormalities, cardiac compression, and reduced lung volumes. 17,19 The clinical manifestations of PEx correspond to the severity of the chest wall defect, cardiopulmonary morbidity, and its psychosocial impact on patients' perceived appearances.…”

Section: Pectus Excavatum (Pex)mentioning

confidence: 99%

“…It affects 1 in every 300 hundred live births with 3:1 female to male predominance 4. The deformity may be classified as symmetric or asymmetric 18. PEx deformity may worsen as one ages, and symmetric lesions may progress to more complex, asymmetric deformities, resulting in postural abnormalities, cardiac compression, and reduced lung volumes 17,19…”

Section: Structural Chest Wall Disordersmentioning

confidence: 99%

Atypical Causes of Dyspnea

Hoffman

Garner

Rojas

et al. 2022

Journal of Thoracic Imaging

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Dyspnea is a common presenting symptom among patients with cardiopulmonary diseases. However, several neuromuscular and chest wall conditions are often overlooked and under-recognized causes of dyspnea. These disorders frequently adversely affect the structure and function of the ventilatory pump (diaphragm, accessory muscles of ventilation) and can precipitate respiratory failure despite normal lung parenchyma. Weakened musculature impairs clearance of airway secretions leading to aspiration and pneumonia, further compromising respiratory function. Radiologists should be aware of the pathophysiology and imaging manifestations of these conditions and might suggest them to be causes of dyspnea which otherwise may not have been considered by referring clinicians.

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