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- Title
Severity of Pectus Excavatum is a Risk Factor for Primary Spontaneous Pneumothorax.
- Authors
Huang, Hsu-Kai; Huang, Yi-Jhih; Lin, Kuan-Hsun; Chen, Ying-Yi; Ko, Kai-Hsiung; Chang, Hung; Lee, Shih-Chun; Huang, Tsai-Wang
- Abstract
Background and Objective: This study aimed to investigate the relationship between bleb formation, primary spontaneous pneumothorax (PSP) and pectus excavatum (PE). Methods: From July 2005 to December 2016, the records of 514 patients with PE who underwent the Nuss procedure were obtained from a prospectively collected database and reviewed. Clinical features, images and treatments were analyzed retrospectively. Results: The incidence rate of bleb formation was 26.5% in PE patients. The bleb group had a greater body height (174.4 cm vs. 170.4 cm, p < 0.001), a higher Haller index (HI; 4.2 vs. 3.43, p < 0.001) and a higher risk of developing PSP than the non-bleb group (risk ratio 9.8, p = 0.002). HI values larger than 3.615 had good discriminatory power for predicting bleb formation in patients with PE. With each increase in the HI, PE patients had a 2.2-fold greater odds ratio of bleb formation (odds ratio 2.221, CI 1.481–3.330, p < 0.001). Conclusion: We discovered that a high percentage of PE patients have bleb formation and a higher risk of PSP, especially those with an HI >3.615. High-resolution computed tomography of the chest may be useful for evaluating both the HI and the presence of blebs in the lungs before performing a corrective surgical procedure.
- Subjects
PECTUS excavatum; PNEUMOTHORAX; STATURE; OPERATIVE surgery; PROGRESSIVE supranuclear palsy; MEDICAL records
- Publication
World Journal of Surgery, 2020, Vol 44, Issue 6, p2035
- ISSN
0364-2313
- Publication type
Article
- DOI
10.1007/s00268-020-05412-6