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[Funnel chest: objective and subjective aspects].

M Ribet, P Danjou

    Chirurgie; Memoires De L'Academie De Chirurgie
    |January 1, 1989
    PubMed
    Summary
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    This study on funnel chest (pectus excavatum) in young males found that surgery and physical therapy can improve symptoms. Subjective patient satisfaction often exceeded objective measures, highlighting the importance of a holistic approach to treatment.

    Area of Science:

    • Thoracic Surgery
    • Pediatric Cardiology
    • Adolescent Medicine

    Context:

    • Funnel chest (pectus excavatum) is a common chest wall deformity in adolescents.
    • A significant number of patients present with associated respiratory or cardiac symptoms.
    • Treatment outcomes require evaluation of both objective and subjective patient experiences.

    Purpose:

    • To evaluate the effectiveness of surgical correction versus conservative physical therapy for funnel chest.
    • To assess patient satisfaction and symptom improvement following different treatment modalities.
    • To explore the psychological component, such as anxiety, contributing to funnel chest symptoms.

    Summary:

    • A study observed 40 cases of funnel chest, primarily in 15-20-year-old males, with 26 experiencing symptoms.

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  • Surgical correction was performed on 22 patients, while 18 underwent physical therapy.
  • Follow-up revealed high subjective satisfaction in operated patients (10/12) and functional/morphological improvements in 7/12 non-operated patients who adhered to therapy.

    • Impact:

    • Both surgical and non-surgical (physical therapy) interventions can lead to symptom relief and improved quality of life for funnel chest patients.
    • Subjective patient-reported outcomes are crucial for assessing treatment success, sometimes outweighing objective criteria.
    • Physical exercise is a vital component of funnel chest management, complementing surgical or conservative approaches.