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Pectus Excavatum: Functional Respiratory Impact, Quality of Life, and Preoperative Assessment

  • Louis DaussyEmail author
  • Elise Noel-Savina
  • Alain Didier
  • Daniel Riviere
Chapter

Abstract

Pectum excavatum’s (PE) functional impact is discussed. To this day, there is no consensus despite the many studies published on that subject. This explains that there are no official guidelines regarding the evaluation of patients with PE. However, some authors suggested guidelines on the indications of corrective surgery (Nuss, or modified Ravitch) [1–3]. But the definition of functional respiratory and cardiac impairment may not be described precisely enough. Moreover, they used a radiological measure (Haller index) although several studies showed a lack of correlation with the physiological impairment of the deformity [4–6] and no impact on the patient’s quality of life [7, 8]. The aesthetic damage and its psycho-social impact were not always considered. The plastic surgery solutions were not part of the decision algorithm.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Louis Daussy
    • 1
    Email author
  • Elise Noel-Savina
    • 2
  • Alain Didier
    • 3
  • Daniel Riviere
    • 2
  1. 1.Pulmonary DepartmentAlbi HospitalAlbiFrance
  2. 2.Pulmonary DepartmentLarrey Hospital, Toulouse University HospitalToulouseFrance
  3. 3.Pulmunology and Allergology DepartmentLarrey Hospital, Toulouse University HospitalToulouseFrance

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