Pectus Carinatum Follow-up
- Author: Mary E Cataletto, MD; Chief Editor: Michael R Bye, MD more...
Further Outpatient Care
Long-term activity recommendations include stretching.
Further Inpatient Care
For information regarding these indications in pectus carinatum, see Activity.
Complications vary according to treatment selection.
Ill-fitting braces can be associated with skin irritation and skin breakdown.
Shamberger reported a 3.9% complication rate with open surgical repair. Complications include pneumothorax (2.6%), wound infection (0.7%), atelectasis (0.7%), and local tissue necrosis (0.7%). The mean postoperative stay was 5.8 days.
Fonkalsrud (2008) reported shorter hospital stays (mean, 2.6 d), mild postoperative pain, and low complication rate with limited resection and immediate chest stabilization.
In prepubertal children with pectus carinatum who are compliant with bracing, success rates are excellent (up to 80%).
Excellent results (97.4%) have been reported by Fonkalsrud (2008) in patients who underwent surgical correction using a very limited resection of deformed cartilage and immediate chest stabilization. In addition, he reported less postoperative pain, shorter hospital stays, lower complication rate, and decreased cost. Furthermore, he reported satisfactory cosmetic results with the less extensive repair, as well as a high rate of improvement in exertional symptoms compared with more extensive open surgical procedures.
Recurrences are rare.
Responses to quality-of-life questionnaires in patients who had undergone minimally invasive repair of their pectus deformity supported a positive impact on psychosocial function.
Exertional symptoms may develop with pectus deformities and may not always be identified with standard pulmonary function testing.
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