In the repair, deformed cartilages are removed through an incision on the front of the chest with their linings preserved, and controlled cuts give the breastbone the right angle; a temporary support is used if needed.
The decision depends on the child’s age, growth stage and severity; it is often planned in adolescence.
If ribs are missing, the chest wall is strengthened with a graft, patch or support material. For contour, a back-muscle flap, a custom implant and fat transfer are used alone or together.
Repair for appearance is usually done once growth is complete and may need staged procedures for fine adjustment; the expected stages are discussed from the start.
In sternal cleft the edges are brought together and closed; early repair is easier while the chest wall is flexible, and a graft or plate may be needed later in life.
Rib flaring is usually followed without surgery. For slipping rib, painkillers, physiotherapy and nerve blocks come first; if they fail, the mobile cartilage is removed or the ribs are fixed together.
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