Effect of the Nuss Procedure on the Physical Development of Patients with Pectus Excavatum
Purpose: This study assessed physical development of patients with pectus excavatum and evaluated the effect of the Nuss procedure on physical development.Methods: A total of 146 patients underwent the Nuss procedure; of these, at the time of the study, the bar had been removed from 123 patients (84...
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| Veröffentlicht in: | Annals of Thoracic and Cardiovascular Surgery 2016, Vol.22(6), pp.327-332 |
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| creator | Kim, Hyun Koo Yoon, Jee Young Han, Kook Nam Choi, Young Ho |
| description | Purpose: This study assessed physical development of patients with pectus excavatum and evaluated the effect of the Nuss procedure on physical development.Methods: A total of 146 patients underwent the Nuss procedure; of these, at the time of the study, the bar had been removed from 123 patients (84.9%; male 93, female 30) who were eligible for participation in this study. Heights and body weights of patients were measured prior to surgery and immediately before bar removal. Chest computed tomography (CT) was performed preoperatively and immediately before bar removal. The associations between physical development and chest CT indices were evaluated.Results: The height standard deviation score (SDS) was − 0.66 ± 2.23 preoperatively and 0.04 ± 1.34 immediately before bar removal (p |
| doi_str_mv | 10.5761/atcs.oa.16-00012 |
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Heights and body weights of patients were measured prior to surgery and immediately before bar removal. Chest computed tomography (CT) was performed preoperatively and immediately before bar removal. The associations between physical development and chest CT indices were evaluated.Results: The height standard deviation score (SDS) was − 0.66 ± 2.23 preoperatively and 0.04 ± 1.34 immediately before bar removal (p <0.01). The weight SDS was − 0.02 ± 2.59 preoperatively; it increased significantly to 0.56 ± 1.56 immediately before bar removal (p <0.01). The Haller index (3.85 ± 1.18 to 2.99 ± 0.54; p <0.01) and asymmetric index (9.75 ± 6.63 to 7.01 ± 4.77; p <0.01) also showed improvements.Conclusions: The Nuss procedure may contribute positively to the physical development of patients with pectus excavatum.</description><identifier>ISSN: 1341-1098</identifier><identifier>EISSN: 2186-1005</identifier><identifier>DOI: 10.5761/atcs.oa.16-00012</identifier><identifier>PMID: 27629820</identifier><language>eng</language><publisher>Japan: The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery</publisher><subject>Adolescent ; Adolescent Development ; Age Factors ; Body Height ; Body Weight ; chest wall ; Child ; Child Development ; Child, Preschool ; Female ; Funnel Chest - diagnostic imaging ; Funnel Chest - physiopathology ; Funnel Chest - surgery ; Humans ; Male ; Nuss procedure ; Original ; Orthopedic Procedures ; pectus excavatum ; physical development ; Time Factors ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>Annals of Thoracic and Cardiovascular Surgery, 2016, Vol.22(6), pp.327-332</ispartof><rights>2016 The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery</rights><rights>2016 Annals of Thoracic and Cardiovascular Surgery 2016</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c549t-dd027c6f78b3acd262521fdc27b0a992e411c96efd590f34a50066df30f26de93</citedby><cites>FETCH-LOGICAL-c549t-dd027c6f78b3acd262521fdc27b0a992e411c96efd590f34a50066df30f26de93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5183976/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5183976/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,724,777,781,882,1878,27906,27907,53773,53775</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27629820$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Hyun Koo</creatorcontrib><creatorcontrib>Yoon, Jee Young</creatorcontrib><creatorcontrib>Han, Kook Nam</creatorcontrib><creatorcontrib>Choi, Young Ho</creatorcontrib><title>Effect of the Nuss Procedure on the Physical Development of Patients with Pectus Excavatum</title><title>Annals of Thoracic and Cardiovascular Surgery</title><addtitle>ATCS</addtitle><description>Purpose: This study assessed physical development of patients with pectus excavatum and evaluated the effect of the Nuss procedure on physical development.Methods: A total of 146 patients underwent the Nuss procedure; of these, at the time of the study, the bar had been removed from 123 patients (84.9%; male 93, female 30) who were eligible for participation in this study. Heights and body weights of patients were measured prior to surgery and immediately before bar removal. Chest computed tomography (CT) was performed preoperatively and immediately before bar removal. The associations between physical development and chest CT indices were evaluated.Results: The height standard deviation score (SDS) was − 0.66 ± 2.23 preoperatively and 0.04 ± 1.34 immediately before bar removal (p <0.01). The weight SDS was − 0.02 ± 2.59 preoperatively; it increased significantly to 0.56 ± 1.56 immediately before bar removal (p <0.01). The Haller index (3.85 ± 1.18 to 2.99 ± 0.54; p <0.01) and asymmetric index (9.75 ± 6.63 to 7.01 ± 4.77; p <0.01) also showed improvements.Conclusions: The Nuss procedure may contribute positively to the physical development of patients with pectus excavatum.</description><subject>Adolescent</subject><subject>Adolescent Development</subject><subject>Age Factors</subject><subject>Body Height</subject><subject>Body Weight</subject><subject>chest wall</subject><subject>Child</subject><subject>Child Development</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Funnel Chest - diagnostic imaging</subject><subject>Funnel Chest - physiopathology</subject><subject>Funnel Chest - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Nuss procedure</subject><subject>Original</subject><subject>Orthopedic Procedures</subject><subject>pectus excavatum</subject><subject>physical development</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>1341-1098</issn><issn>2186-1005</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkcFv2yAUh9G0qs263neaOO7i9IFjbC6Tpi7dJlVrDttlF0TgUbuyTQY4a__7kqSNugs8wfe-96QfIR8YzKtasEudTJx7PWeiAADG35AZZ40oGED1lsxYuWC5ls0ZeRfjPUDZCAGn5IzXgsuGw4z8WTqHJlHvaGqR_pxipKvgDdopIPXj_nXVPsbO6J5-xS32fjPguO9Y6dTlMtJ_XWrpKnumSJcPRm91mob35MTpPuLF831Ofl8vf119L25uv_24-nJTmGohU2Et8NoIVzfrUhvLBa84c9bweg1aSo4LxowU6GwlwZULXQEIYV0JjguLsjwnnw_ezbQe0Jq8UdC92oRu0OFRed2p_3_GrlV3fqsq1pSyFlnw6VkQ_N8JY1JDFw32vR7RT1GxpmJCApd1RuGAmuBjDOiOYxioXSRqF0meqZhQ-0hyy8fX6x0bXjLIwPUBuI9J3-ER0CF1pseDkXMldscr8xEwrQ4Kx_IJuUejug</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Kim, Hyun Koo</creator><creator>Yoon, Jee Young</creator><creator>Han, Kook Nam</creator><creator>Choi, Young Ho</creator><general>The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160101</creationdate><title>Effect of the Nuss Procedure on the Physical Development of Patients with Pectus Excavatum</title><author>Kim, Hyun Koo ; Yoon, Jee Young ; Han, Kook Nam ; Choi, Young Ho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c549t-dd027c6f78b3acd262521fdc27b0a992e411c96efd590f34a50066df30f26de93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adolescent Development</topic><topic>Age Factors</topic><topic>Body Height</topic><topic>Body Weight</topic><topic>chest wall</topic><topic>Child</topic><topic>Child Development</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Funnel Chest - diagnostic imaging</topic><topic>Funnel Chest - physiopathology</topic><topic>Funnel Chest - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Nuss procedure</topic><topic>Original</topic><topic>Orthopedic Procedures</topic><topic>pectus excavatum</topic><topic>physical development</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Kim, Hyun Koo</creatorcontrib><creatorcontrib>Yoon, Jee Young</creatorcontrib><creatorcontrib>Han, Kook Nam</creatorcontrib><creatorcontrib>Choi, Young Ho</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of Thoracic and Cardiovascular Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Hyun Koo</au><au>Yoon, Jee Young</au><au>Han, Kook Nam</au><au>Choi, Young Ho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of the Nuss Procedure on the Physical Development of Patients with Pectus Excavatum</atitle><jtitle>Annals of Thoracic and Cardiovascular Surgery</jtitle><addtitle>ATCS</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>22</volume><issue>6</issue><spage>327</spage><epage>332</epage><pages>327-332</pages><issn>1341-1098</issn><eissn>2186-1005</eissn><abstract>Purpose: This study assessed physical development of patients with pectus excavatum and evaluated the effect of the Nuss procedure on physical development.Methods: A total of 146 patients underwent the Nuss procedure; of these, at the time of the study, the bar had been removed from 123 patients (84.9%; male 93, female 30) who were eligible for participation in this study. Heights and body weights of patients were measured prior to surgery and immediately before bar removal. Chest computed tomography (CT) was performed preoperatively and immediately before bar removal. The associations between physical development and chest CT indices were evaluated.Results: The height standard deviation score (SDS) was − 0.66 ± 2.23 preoperatively and 0.04 ± 1.34 immediately before bar removal (p <0.01). The weight SDS was − 0.02 ± 2.59 preoperatively; it increased significantly to 0.56 ± 1.56 immediately before bar removal (p <0.01). The Haller index (3.85 ± 1.18 to 2.99 ± 0.54; p <0.01) and asymmetric index (9.75 ± 6.63 to 7.01 ± 4.77; p <0.01) also showed improvements.Conclusions: The Nuss procedure may contribute positively to the physical development of patients with pectus excavatum.</abstract><cop>Japan</cop><pub>The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery</pub><pmid>27629820</pmid><doi>10.5761/atcs.oa.16-00012</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adolescent Development Age Factors Body Height Body Weight chest wall Child Child Development Child, Preschool Female Funnel Chest - diagnostic imaging Funnel Chest - physiopathology Funnel Chest - surgery Humans Male Nuss procedure Original Orthopedic Procedures pectus excavatum physical development Time Factors Tomography, X-Ray Computed Treatment Outcome |
| title | Effect of the Nuss Procedure on the Physical Development of Patients with Pectus Excavatum |
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