ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Pectus deformities: a clinical and surgical analysis of 51 patients
Hasan Türüt 1, Erkmen Gülhan2, İrfan Taştepe2, Mehmet Sırmalı3, Suat Gezer2, Sadi Kaya2, Güven Çetin2
1Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Göğüs Cerrahisi Anabilim Dalı, Kahramanmaraş
2Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi Göğüs Cerrahisi Kliniği, Ankara
3Süleyman Demirel Üniversitesi Tıp Fakültesi Göğüs Cerrahisi Anabilim Dalı, Isparta
Background: We analyzed clinical features and surgical results of patients undergoing surgical correction for pectus deformities.

Methods: This retrospective review included 51 patients (36 males, 15 females; mean age 13 years; range 4 to 27 years) who underwent surgical repair for pectus excavatum (PE) or pectus carinatum (PC). The patients were evaluated with regard to age, gender, presenting symptoms, physical examination findings, associated anomalies, surgical procedures, postoperative complications, and recurrence. The mean follow- up period was 33.9 months (range 2 to 70 months).

Results: Of 51 patients, 36 had PE and 15 had PC. The most common complaint was cosmetic problems (39.7%). The most commonly performed surgical procedure was the modified Ravitch technique. For sternal stabilization, Prolene mesh was used in three patients and a Kirschner wire in one patient. Postoperative complications were encountered in nine patients (17.6%), including pneumothorax (n=3), wound site infection (n=2), hemorrhage (n=2), pleural fluid collection (n=1), and subcutaneous emphysema (n=1). One patient developed recurrence one year after surgery for PC.

Conclusion: The optimal age range for corrective surgery for pectus deformities is 7 to 15 years. The modified Ravitch procedure can be used safely and successfully in the repair of such deformities. Prolene mesh may be effective for sternal stabilization in young adults.

Keywords : Child; funnel chest/surgery; sternum/surgery
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