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Long-term results after operation for funnel chest

M Goertzen1, A Baltzer, K P Schulitz

  • 1Department of Orthopaedic Surgery, Heinrich-Heine-University, Düsseldorf, Germany.

Archives of Orthopaedic and Trauma Surgery
|January 1, 1993
PubMed
Summary

Surgical correction of funnel chest deformity significantly improves cardiorespiratory issues and yields good long-term cosmetic results. Most patients experienced reduced psychological distress post-surgery compared to persistent chest malformations.

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Area of Science:

  • Thoracic surgery
  • Pediatric surgery
  • Medical engineering

Background:

  • Funnel chest deformity (pectus excavatum) is a congenital condition affecting chest wall structure.
  • It can lead to significant cardiorespiratory and psychological issues.
  • Surgical intervention is often considered for functional and aesthetic reasons.

Purpose of the Study:

  • To review the long-term outcomes of surgical correction for funnel chest deformity.
  • To evaluate the effectiveness of the Hegemann operation in improving patient health and appearance.
  • To assess the impact of surgery on cardiorespiratory function and patient well-being.

Main Methods:

  • Retrospective review of 36 patients who underwent the Hegemann operation for funnel chest between 1978-1988.

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  • Average follow-up period of 7.6 years.
  • Analysis of preoperative and postoperative cardiorespiratory, electrocardiographic, pulmonary, radiological, and functional data.

    • Main Results:

    • The mean age at surgery was 14.1 years.
    • Preoperative cardiorespiratory disorders were present in 76% of patients; 71% had electrocardiographic and pulmonary alterations.
    • Postoperative cardiorespiratory disorders significantly decreased, but electrocardiographic changes persisted. Long-term good or fair results were achieved in over 90% of cases.

    Conclusions:

    • Surgical treatment for funnel chest deformity is indicated for most patients, addressing both functional and psychological concerns.
    • The Hegemann operation provides good to excellent long-term results.
    • Improved cosmetic outcomes and reduced psychological distress are significant benefits, outweighing concerns about surgical scarring.