Pectus excavatum repair - series

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Normal anatomy

Pectus excavatum is a deformity of the front of the chest wall with depression of the breastbone (sternum) and rib (costal) cartilages

Normal anatomy

Indications

Repair of pectus excavatum may be recommended for:

  • improved appearance (cosmetic repair)
  • improved breathing (respiratory function)
Indications

Procedure

While the child is deep asleep and pain-free (using general anesthesia), an incision is made over the breastbone (sternum). The deformed cartilage are removed and the rib lining is left in place to allow re-growth of the cartilage. An incision is made in the sternum and it is repositioned. A rib or metal strut may be used to stabilize the sternum in normal position until healing occurs in 3 to 6 months. A chest tube may be placed to re-expand the lung if the lining of the lung is entered.

Metal struts are removed 6 months later through a small skin incision under the arm. This procedure is usually done as an outpatient.

Procedure

Aftercare

Hospitalization for 1 week is common. Vigorous activity may need to be restricted for 3 months.

Aftercare
Review Date: 2006-05-10
Reviewed By: Alan Greene, M.D., F.A.A.P., Department of Pediatrics, Packard Children's Hospital, Stanford University School of Medicine; Chief Medical Officer, A.D.A.M., Inc.
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The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © HealthProfessor LLC. Any duplication or distribution of the information contained herein is strictly prohibited.