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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 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.

Original publication




Journal article


World J Surg

Publication Date





2035 - 2041


Adolescent, Adult, Body Height, Female, Funnel Chest, Humans, Male, Pneumothorax, Retrospective Studies, Risk Factors, Severity of Illness Index, Tomography, X-Ray Computed, Young Adult