20 سنوات
I dont have functional impairments and I did consult many Doctors here with no help even the certified ones refused since its not well known here but I started using the vacuum bell hoping for results
11 يوليو 2014
The doctors assist Pectus excavatum patients to be considered candidates for corrective surgery based on the following criteria:
-The severity of the deformity (the severity is determined by the measurement of the chest Haller index)
-The resulting functional impairment
-The psychosocial impact of the deformity on the patient
The chest Haller index is a measurement taken from a noncontrast CT scan of the chest in which a ratio is obtained between the lateral and anterior-posterior diameter of the chest wall at the point of maximal depression of the sternum. A normal chest index is around 2.5. Patients with an index greater than 3.2 have a fairly pronounced and severe pectus excavatum and will typically benefit from operative correction. Even if asymptomatic, those patients usually benefit from the corrective surgery.
>>So if you have a haller index below than this the doctor will not advise or will not make the operation ,the risk will be more than the advantages .
Patients with other associated complex congenital anomalies, neurodevelopmental delay, congenital heart disease with primary cardiac dysfunction, and chronic immunosuppression are not considered good candidates for corrective surgery for pectus excavatum. Comprehensive preoperative evaluation, including cardiology consultation and echocardiogram, must be completed in order to determine the patient’s risk assessment.
Since most patients with the deformity do not have symptoms, treatment may not be needed, or will be dependent upon the development of symptoms.
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