Body Disfigurement and the Quality of Life of Adolescents with Pectus Excavatum: Effects of the Nuss Procedure
نویسندگان
چکیده
This article takes a comprehensive look at the effects of pectus excavatum, a congenital deformity with psychosocial and physical ramifications, and the Nuss procedure on the quality of life of adolescents. The Nuss procedure is a minimally invasive corrective surgery. Twenty-five participants from Calgary, Alberta were interviewed (10 adolescents between the ages of 13 and 16, 8 mothers, and 7 fathers) regarding their experiences with pectus excavatum before, during recovery, and after surgery. We gathered qualitative data on four areas of quality of life: well-being, social belonging, satisfaction, and empowerment. Pectus excavatum had a negative effect on quality of life, with participants demonstrating decreased self-confidence, increased feelings of self-consciousness, and a variety of avoidance and concealment behaviors. After the Nuss procedure, all areas of adolescent quality of life improved. Adolescent and parent recommendations are provided. We also explore theoretical implications in relation to body disfigurement research, qual21 #2493—Physical Disabilities V24 N2 File: 24204-roberts
منابع مشابه
First Iranian Experience of the Minimally Invasive Nuss Procedure for Pectus Excavatum Repair: A Case Series and Literature Review
Pectus excavatum is the most common congenital deformity of the chest wall. The most frequently used techniques include Ravitch (costochondral resection) and Nuss (minimally invasive pectus repair of pectus excavatum [MIRPE]). The Nuss technique includes using temporary metallic bars without costochondral resection to correct the chest wall deformity. Modified MIRPE can be learned easily and pe...
متن کاملNuss operation for pectus excavatum: a single-institution experience.
BACKGROUND The Nuss procedure for repair of pectus excavatum (PE) has been accepted worldwide because of minimal invasiveness and excellent cosmetic results. We summarized our experience with the treatment of 115 patients aged 2.7-18 years. METHODS All the 115 patients underwent the Nuss procedure successfully from July 2003 to February 2008. They were divided into two groups: children group ...
متن کاملMinimally invasive repair for pectus excavatum -- aesthetic and/or functional?
INTRODUCTION Pectus excavatum is the most frequent anterior thoracic wall congenital malformation. This malformation is increasing its effects with the aging process and has its peak during teenage, when the clinical symptoms become more acute and psychological effects are really important. Across the course of time many treatment techniques have been proposed, among which conservative or surgi...
متن کاملChest wall anomalies: pectus excavatum and pectus carinatum.
Pectus excavatum, the concave depression of the breast bone, comprises most chest wall anomalies. The Nuss procedure, a minimally invasive procedure to correct pectus excavatum, has revolutionized the management of this disease over the past decade. The results and complications of this procedure are discussed. The surgical management of the less common pectus carinatum or "pigeon breast" also ...
متن کاملCardiac arrest without physical cardiac injury during Nuss repair of pectus excavatum
BACKGROUND Cardiac arrest is a lethal complication of Nuss repair of pectus excavatum which is strongly related to heart or big vessels injury. A rare case developed cardiac arrest without direct cardiac injury during Nuss procedure is presented in this article. CASE PRESENTATION In July 2015, a previously healthy 18-year-old man undergoing Nuss repair for pectus excavatum developed cardiac a...
متن کامل