INFO & BLOG
About diagnosis, treatment and recovery
What is pectus arcuatum?
It is a mixed chest wall deformity in which the upper breastbone bulges forward and the area just below sinks in. The breastbone is usually short and rigid.
How does it differ from classic pectus carinatum?
In the classic type the bulge is usually in the lower breastbone and the chest is flexible. In arcuatum the bulge sits higher, a hollow lies below and the structure is stiffer.
Do bracing or vacuum therapy help?
Because the breastbone is rigid, external pressure or vacuum usually does not bring marked correction. Options are discussed with the family after examination and imaging.
How is the operation done?
Through a front chest incision, deformed cartilage is removed with its lining preserved and controlled cuts give the breastbone the right angle. A temporary support may be used.
What is the right age for surgery?
The decision depends on the child’s age, growth stage and severity. It is often planned in adolescence, once the chest shape is well defined.
How long is the hospital stay?
The stay depends on drain follow-up and pain control and is usually a few days. A room arrangement lets a parent stay with the child.
What are the possible risks?
Wound infection, fluid collection, air leak around the lung and partial recurrence can occur. Risks are discussed with the family in advance for the child’s situation.
When can my child return to school and sports?
School is usually possible within a few weeks. Contact sports and heavy lifting are postponed, usually for a few months, until the bone has healed.