TY  - JOUR
AU  - Cho, Deog Gon
AU  - Kim, Jae Jun
AU  - Park, Jae Kil
AU  - Moon, Seok Whan
PY  - 2018
TI  - Recurrence of pectus excavatum following the Nuss procedure
JF  - Journal of Thoracic Disease; Vol 10, No 11 (November 28, 2018): Journal of Thoracic Disease
Y2  - 2018
KW  - 
N2  - Background: The recurrence of pectus excavatum (PE), in other words, chest wall depression after the completion of repair, is one of the most important issues in PE. However, little about the recurrence of PE is known. The present study aimed (I) to evaluate the characteristics of chest wall depression during treatment and (II) to present the definition of recurrence of PE, investigate the risk factors for recurrence, and predict the recurrence at one year after bar removal (BR).   Methods: Consecutive 99 patients who had undergone BR for PE in a single hospital from March 2012 to June 2017 were included in the present study. Severity of PE is presented as a radiographical Haller index (RHI) in the present study. RHI is calculated by the ratio of the transverse diameter to the anteroposterior (AP) diameter at the point of the deepest chest wall depression. Patients with a ≥3.5 RHI value, which simultaneously increased to more than the value of RHI before BR, were considered as demonstrating recurrence in the present study. Follow-up data after BR were collected at subsequent time points (i.e., immediate before and after, one month, sixth months, and one year after BR). All postoperative chest wall changes were analyzed to find out the difference according to the age at the time of the Nuss procedure (NP) [
UR  - https://jtd.amegroups.org/article/view/24846