INFO & BLOG
About diagnosis, treatment and recovery
Is a chest wall deformity only a cosmetic issue?
For most patients the main concern is appearance, but marked pectus excavatum can affect the heart and lungs. Exercise capacity and tests help tell the difference.
Can a chest deformity affect a child emotionally?
Some children and teens become self-conscious and avoid sports or social settings. This is treated as part of the assessment and discussed with the family when deciding on treatment.
Which tests are performed?
In addition to examination and photographs, CT or MRI measures the deformity. Echocardiography, ECG and pulmonary function tests are planned when needed.
What is the best age for treatment?
The chest wall is more flexible in adolescence, so this period is often preferred for bracing and Nuss. Adults can be treated too; the method depends on chest stiffness.
Is surgery necessary for pectus carinatum?
No. For a flexible chest wall the first option is usually a compression brace. Surgery is considered if bracing falls short, the chest is rigid or a brace cannot be used.
What is the difference between Nuss and Ravitch?
Nuss is a minimally invasive method that lifts the chest from inside with a bar. Ravitch is an open repair that removes deformed cartilage, suited to asymmetric, rigid deformity.
How is pain controlled after surgery?
Pain management is planned before surgery. Epidural catheter, nerve blocks and patient-controlled analgesia may be combined according to the patient.
When can my child return to school?
With non-surgical treatment the school routine usually stays the same. After surgery, school is usually possible within a few weeks; contact sports wait longer.
Can the deformity come back?
It can recur, especially while growth continues. Regular check-ups are therefore planned after treatment and the chest is monitored until growth is complete.