Indicators for surgical intervention using Taulinoplastia for Pectus Excavatum patients under the following circumstances:
- Symptomatic patients
- Haller Index equal to or greater than 3.25
- Clear progression in the chest deformity with symptoms associated with Pectus Excavatum
- Paradoxical or reverse breathing
- Diminished pulmonary function with a pattern of restrictive or obstructive pulmonary disease
- Cardiac anomalies (cardiac displacement or compression, mitral prolapse, reduced ejection volume in the left ventricle, arrhythmia).
- Chest or lumbar pain, connected to relevant bone deformities acquired as side effects of Pectus Excavatum
- Disturbance to body image
- Relevant psychological condition
- Failure of previous surgical procedures.
Typically, four or more of these situations are present in the patient.
In the past, with patients in the paediatric age group, a surgical remedy for the Pectus Excavatum was recommended for symptomatic cases and the earlier the better. However, recently it has been shown that the results are not so positive with very young children. Therefore, recently, delaying the age for surgery has been recommended, with the optimum age being established as from 8 years of age.