Repair of XXXX and @entity85 in 116 adults.

@entity1 @entity662 @entity1143 @entity1353 @entity190 @entity2396 @entity591 @entity764 @entity158 @entity2805 @entity85 @entity1408
OBJECTIVE: To determine the feasibility of surgically correcting @entity1408 and @entity85 in adult @entity1 . SUMMARY BACKGROUND DATA: Although pectus @entity764 are common, many @entity1 progress to adulthood without surgical repair and experience increasing symptoms. There are sparse published data regarding repair of @entity85 in adults. METHODS: Since 1987, 116 @entity1 over the age of 18 years with @entity1408 (n = 104) or carinatum (n = 12) deformities underwent correction using a highly modified Ravitch repair, with a temporary internal support bar. The ages ranged from 19 to 53 years (mean 30.1). Eighty-six @entity1 sought repair after reviewing information regarding @entity85 available on the Internet. Each @entity1 experienced @entity1353 with mild exertion and decreased endurance; 84 had @entity662 with activity; 75 had palpitations and/or @entity591 . Seven @entity1 underwent repair for symptomatic recurrent deformities. The mean severity score (chest width divided by distance from sternum to spine) was 4.8. The sternal bar was removed from 101 @entity1 6 months after the repair without complications. RESULTS: Each of the @entity1 with reduced endurance or @entity1353 with mild exercise experienced marked improvement within 6 months. Chest discomfort was reduced in 82 of the 84 @entity1 . Complications included @entity1143 (n = 7), pneumothorax (n = 2), @entity2396 (n = 2), dislodged sternal bar (n = 3), and mildly @entity2805 (n = 12). Mean hospitalization was 2.9 days; mean @entity190 was 122 mL. @entity158 was mild and of short duration (intravenous analgesics were used a mean of 2.1 days). There were no deaths. With a mean follow-up of 4.3 years, 109 of 113 respondents had a very good or excellent result. CONCLUSIONS: Although technically more difficult than in @entity1 , @entity85 may be repaired in adults with low morbidity, short hospital stay, and very good physiologic and cosmetic results.
