Pediatric Surgery International

, Volume 34, Issue 7, pp 775–780 | Cite as

Minimal cosmetic revision required after minimally invasive pectus repair

  • Brittany L. Murphy
  • Nimesh D. Naik
  • Penny L. Roskos
  • Amy E. Glasgow
  • Christopher R. Moir
  • Elizabeth B. Habermann
  • Denise B. Klinkner
Original Article



Despite surgical correction procedures for pectus deformities, remaining cosmetic asymmetry may have significant psychological effects. We sought to evaluate factors associated with plastic surgery (PS) consultation and procedures for these deformities at an academic institution.


We reviewed patients aged 0–21 diagnosed with a pectus excavatum or carinatum deformity at our institution between January 2001 and October 2016. Pectus diagnoses were identified by ICD-9/ICD-10 codes and surgical repair by CPT codes; patients receiving PS consultation were identified by clinical note service codes. Student’s t tests, Fisher’s exact tests, and Chi-squared tests were utilized.


2158 patients were diagnosed with a pectus deformity; 442 (20.4%) underwent surgical correction. 19/442 (4.3%) sought PS consultation, either for pectus excavatum [14/19 (73.7%)], carinatum [4/19 (21.0%)], and both [1/19 (5.3%)], (p = 0.02). Patients seeking PS consultation were more likely to be female (p < 0.01), have scoliosis (p = 0.02), or undergo an open repair (p < 0.01). The need for PS consultation did not correlate with Haller index, p = 0.78.


PS consultation associated with pectus deformity repair was rare, occurring in < 5% of patients undergoing repair. Patients who consulted PS more commonly included females, patients with scoliosis, and those undergoing open repair. These patients would likely benefit most from multidisciplinary pre-operative discussions regarding repair of the global deformity.


Pectus deformity Residual deformity Plastic surgery Multidisciplinary 



The authors would like to acknowledge the support of the Mayo Clinic Departments of Pediatric Surgery, Surgery, and the Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery as substantial contributors of resources to the project.


The Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery provides salary support for Dr. Habermann and Ms. Glasgow. No external funding was used.

Compliance with ethical standards

Conflict of interest

All authors disclose no conflicts.

Supplementary material

383_2018_4275_MOESM1_ESM.docx (16 kb)
Appendix 1: International Classification of Disease (ICD)-9, ICD-10, and Current Procedural Terminology Diagnosis and Procedure Codes Used for Patient Identification (DOCX 15 KB)


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Brittany L. Murphy
    • 1
    • 2
  • Nimesh D. Naik
    • 1
  • Penny L. Roskos
    • 3
  • Amy E. Glasgow
    • 2
  • Christopher R. Moir
    • 3
  • Elizabeth B. Habermann
    • 2
  • Denise B. Klinkner
    • 3
  1. 1.Department of SurgeryMayo ClinicRochesterUSA
  2. 2.The Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery Surgical Outcomes ProgramMayo ClinicRochesterUSA
  3. 3.Division of Pediatric SurgeryMayo ClinicRochesterUSA

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