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Aesthetic outcomes after surgical repair of pectus excavatum in females: Differences between patients and professional evaluators

BACKGROUND: Pectus excavatum is less common in females than in males, and it often aggravates a coexistent breast asymmetry. We conducted a study comparing female patients’ versus medical professionals’ evaluation of pectus excavatum repair to assess differences in aesthetic outcome ratings. Moreove...

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Autores principales: Wachter, Tanja, Frari, Barbara Del, Edlinger, Michael, Morandi, Evi Maria, Mayerl, Christina, Verstappen, Ralph, Celep, Emre, Djedovic, Gabriel, Kinzl, Johann, Schwabegger, Anton Herbert, Wolfram, Dolores
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Plastic and Reconstructive Surgeons 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093272/
https://www.ncbi.nlm.nih.gov/pubmed/32203989
http://dx.doi.org/10.5999/aps.2019.00318
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author Wachter, Tanja
Frari, Barbara Del
Edlinger, Michael
Morandi, Evi Maria
Mayerl, Christina
Verstappen, Ralph
Celep, Emre
Djedovic, Gabriel
Kinzl, Johann
Schwabegger, Anton Herbert
Wolfram, Dolores
author_facet Wachter, Tanja
Frari, Barbara Del
Edlinger, Michael
Morandi, Evi Maria
Mayerl, Christina
Verstappen, Ralph
Celep, Emre
Djedovic, Gabriel
Kinzl, Johann
Schwabegger, Anton Herbert
Wolfram, Dolores
author_sort Wachter, Tanja
collection PubMed
description BACKGROUND: Pectus excavatum is less common in females than in males, and it often aggravates a coexistent breast asymmetry. We conducted a study comparing female patients’ versus medical professionals’ evaluation of pectus excavatum repair to assess differences in aesthetic outcome ratings. Moreover, we evaluated the influence of surgical correction on patients’ self-perception. METHODS: Of 30 female patients who were initially screened, 18 patients (mean age, 20 years) who underwent bar removal after surgical correction of pectus excavatum deformity participated in the survey (60%). They completed a questionnaire rating their appearance before and after surgery and responded to a psychological questionnaire about the changes that they had experienced. The mean interval between pectus bar removal and evaluation was 28 months. Standardized preoperative and postoperative patient photographs were evaluated using the same questionnaire by a panel of medical professionals and students (n=24) and the results were compared. RESULTS: Patients rated their preoperative deformity as more severe than the other evaluators, revealing the significant impact of the deformity on patients’ self-perception. Postoperatively, patient and professional evaluations were much better than before and were very similar. The psychological evaluation showed a clear improvement in well-being. The ratings of the medical professionals were not influenced by their degree of medical education. CONCLUSIONS: Surgical correction of pectus excavatum in female patients positively influences body perception and psychological well-being. It should therefore not be considered as a merely aesthetic correction, but as an important procedure to restore a patient’s self-perception.
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spelling pubmed-70932722020-04-02 Aesthetic outcomes after surgical repair of pectus excavatum in females: Differences between patients and professional evaluators Wachter, Tanja Frari, Barbara Del Edlinger, Michael Morandi, Evi Maria Mayerl, Christina Verstappen, Ralph Celep, Emre Djedovic, Gabriel Kinzl, Johann Schwabegger, Anton Herbert Wolfram, Dolores Arch Plast Surg Original Article BACKGROUND: Pectus excavatum is less common in females than in males, and it often aggravates a coexistent breast asymmetry. We conducted a study comparing female patients’ versus medical professionals’ evaluation of pectus excavatum repair to assess differences in aesthetic outcome ratings. Moreover, we evaluated the influence of surgical correction on patients’ self-perception. METHODS: Of 30 female patients who were initially screened, 18 patients (mean age, 20 years) who underwent bar removal after surgical correction of pectus excavatum deformity participated in the survey (60%). They completed a questionnaire rating their appearance before and after surgery and responded to a psychological questionnaire about the changes that they had experienced. The mean interval between pectus bar removal and evaluation was 28 months. Standardized preoperative and postoperative patient photographs were evaluated using the same questionnaire by a panel of medical professionals and students (n=24) and the results were compared. RESULTS: Patients rated their preoperative deformity as more severe than the other evaluators, revealing the significant impact of the deformity on patients’ self-perception. Postoperatively, patient and professional evaluations were much better than before and were very similar. The psychological evaluation showed a clear improvement in well-being. The ratings of the medical professionals were not influenced by their degree of medical education. CONCLUSIONS: Surgical correction of pectus excavatum in female patients positively influences body perception and psychological well-being. It should therefore not be considered as a merely aesthetic correction, but as an important procedure to restore a patient’s self-perception. Korean Society of Plastic and Reconstructive Surgeons 2020-03 2020-03-15 /pmc/articles/PMC7093272/ /pubmed/32203989 http://dx.doi.org/10.5999/aps.2019.00318 Text en Copyright © 2020 The Korean Society of Plastic and Reconstructive Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Wachter, Tanja
Frari, Barbara Del
Edlinger, Michael
Morandi, Evi Maria
Mayerl, Christina
Verstappen, Ralph
Celep, Emre
Djedovic, Gabriel
Kinzl, Johann
Schwabegger, Anton Herbert
Wolfram, Dolores
Aesthetic outcomes after surgical repair of pectus excavatum in females: Differences between patients and professional evaluators
title Aesthetic outcomes after surgical repair of pectus excavatum in females: Differences between patients and professional evaluators
title_full Aesthetic outcomes after surgical repair of pectus excavatum in females: Differences between patients and professional evaluators
title_fullStr Aesthetic outcomes after surgical repair of pectus excavatum in females: Differences between patients and professional evaluators
title_full_unstemmed Aesthetic outcomes after surgical repair of pectus excavatum in females: Differences between patients and professional evaluators
title_short Aesthetic outcomes after surgical repair of pectus excavatum in females: Differences between patients and professional evaluators
title_sort aesthetic outcomes after surgical repair of pectus excavatum in females: differences between patients and professional evaluators
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093272/
https://www.ncbi.nlm.nih.gov/pubmed/32203989
http://dx.doi.org/10.5999/aps.2019.00318
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