Background: Pectus deformities represent the most common congenital chest wall
abnormalities, significantly impacting both physiological function and psychological
well-being of affected patients. While multiple surgical approaches exist, the
outcomes of surgical repair remain a subject of ongoing investigation. The
objectives of this study were to evaluate the psychological impacts of pectus
deformities with assessment of psychological satisfaction of the patient and his
family post operative and assess improvements of physiological impacts of these
deformities post operative
Methods: This prospective cohort study was conducted at Banha University
Hospitals from 2022 to 2025. Fifty patients with pectus deformities underwent
surgical correction using either the Modified Ravitch procedure (n=28, 56%) or the
Nuss procedure (n=22, 44%). Outcomes included postoperative assessment scores
(poor, fair, good, excellent), hospital stay duration, complications, and patient
satisfaction.
Results: The study population consisted of 38 males (76%) and 12 females (24%)
with a mean age of 14.8 ± 1.9 years. Pectus excavatum was the predominant
deformity (86%, n=43), with pectus carinatum comprising 14% (n=7). Severity
distribution showed 26% severe cases, with the remainder classified as moderate
or mild. The overall excellent outcome rate was 42% (21/50), with 50% achieving
good outcomes. Median hospital stay was 9 (8- 10) days, showing positive
correlation with Haller index (r=0.33, p=0.026). The recurrence rate was low at 4%
(2/50), and psychological satisfaction was achieved in 94% of patients.
Conclusions: Surgical techniques for pectus repair demonstrated high success rates
with low morbidity. The Nuss procedure and Modified Ravitch procedure remains a
reliable option with good to excellent outcomes in most cases. |
