21. Dr. Koop - Pectus Excavatum funnel chest. Considerations. Pectus excavatum is a congenital abnormality thatcan be mild or severe. The child typically has a depression in the center http://www.drkoop.com/ency/93/003320.html

Home Health Reference Pectus excavatum Jul 29, 2005 Search: Dr.Koop MEDLINE Diseases Symptoms Procedures Natural Medicine ... Drug Library Inside DrKoop News Archive Animations Health Videos Health Tools ... Newsletters Pectus excavatum Injury Disease Nutrition Poison ... Treatment Pectus excavatum Definition: Pectus excavatum is the descriptive term for an abnormal formation of the rib cage, in which the distance from the breastbone (sternum) to the backbone (vertebrae) is decreased, giving the chest a caved-in or sunken appearance. Alternative Names: Funnel chest Considerations: Pectus excavatum is a congenital abnormality that can be mild or severe. The child typically has a depression in the center of the chest over the sternum, and this may appear quite deep. It is caused by excessive growth of the costosternal cartilage (the connective tissue joining the ribs to the breastbone), which causes an inward deformity of the sternum. If pectus excavatum is severe, it may affect the heart and lungs, making exercise difficult. Also, the appearance of the chest may cause psychological difficulty for the child. Pectus excavatum may occur as the only abnormality, or in association with other syndromes.

22. Dr. Koop - Pectus Excavatum Repair . There are varioussurgical approaches for treating this condition. In the most commonly used......funnel chest repair; Chest deformity repair. http://www.drkoop.com/ency/93/002949.html

Home Health Reference Pectus excavatum repair Jul 29, 2005 Search: Dr.Koop MEDLINE Diseases Symptoms Procedures Natural Medicine ... Drug Library Inside DrKoop News Archive Animations Health Videos Health Tools ... Newsletters Pectus excavatum repair Injury Disease Nutrition Poison ... Risks Pectus excavatum repair Definition: Surgery to correct pectus excavatum , a deformity of the front of the chest wall with depressed breastbone (sternum) and ribs. Alternative Names: Funnel chest repair; Chest deformity repair Description: There are various surgical approaches for treating this condition. In the most commonly used approach, while the child is deep asleep and pain-free (using general anesthesia), an incision is made over the sternum. The deformed cartilages are removed and the rib lining is left in place to allow the cartilages to regrow. 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 temporary chest tube may be placed to reexpand 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 on an outpatient basis. Most repairs are done between 18 months and 5 years of age, although there has been debate about the best age for the procedure.

23. Congenital Funnel Chest Topic - Unified Search Environment Congenital funnel chest MTHICD9/ET/754.81 MTH/PN/NOCODE funnel chest MTH/MM/U019386 MSH/PM/D005660 MSH/PM/D005660 MSH/MH/D005660 MSH/PM/D005660 http://www.use.hcn.com.au/portals/shared/subject.`Congenital funnel chest`/home.

Congenital funnel chest Topic Tree Definition: A developmental anomaly in which the lower sternum is posteriorly dislocated and concavely deformed, resulting in a funnel-shaped thorax. Synonyms and Source Vocabularies: Congenital funnel chest Funnel chest Pectus excavatum Bone Diseases Bone Cysts Bone Diseases, Developmental Basal Cell Nevus Syndrome Dwarfism Dysostoses Congenital funnel chest ... Bone Malalignment

24. ► Pectus Excavatum Alternative Names. funnel chest The child typically has a depression in thecenter of the chest over the sternum, and this may appear quite deep. http://www.umm.edu/ency/article/003320.htm

var MenuLinkedBy='AllWebMenus [2]', awmBN='530'; awmAltUrl=''; Disease Nutrition Surgery Symptoms Injury Poison Tests Special Topics ... P Q R S T U ... W X Y Z Home Medical Reference Encyclopedia (English) Toggle English Spanish Pectus excavatum Overview Treatment Definition: The descriptive term for an abnormal formation of the rib cage where the distance from the breastbone (sternum) to the backbone (vertebrae) is decreased, resulting in a caved-in or sunken chest appearance. Alternative Names: Funnel chest Considerations: Pectus excavatum is a congenital abnormality that can be mild or fairly marked. The child typically has a depression in the center of the chest over the sternum, and this may appear quite deep. It is caused by excessive growth of the costosternal cartilage (the connective tissue joining the ribs to the breastbone), with resulting inward deformity of the sternum. If pectus excavatum is severe, it may affect the underlying organs (heart and lungs) leading to exercise intolerance or other problems. In addition, the cosmetic appearance of a pectus excavatum may pose a psychological difficulty. Pectus excavatum may occur as the only abnormality, or in association with other syndromes.

25. ► Pectus Excavatum Repair Alternative Names. funnel chest repair; Chest deformity repair A temporarychest tube may be placed to reexpand the lung if the lining of the lung is http://www.umm.edu/ency/article/002949.htm

var MenuLinkedBy='AllWebMenus [2]', awmBN='530'; awmAltUrl=''; Disease Nutrition Surgery Symptoms Injury Poison Tests ... I J K L M N ... P Q R S T U ... W X Y Z Home Medical Reference Encyclopedia (English) Toggle English Spanish Pectus excavatum repair Overview Recovery Risks Definition: Surgery to correct pectus excavatum , a deformity of the front of the chest wall with depression of the breastbone (sternum) and rib (costal) cartilages. Alternative Names: Funnel chest repair; Chest deformity repair Description: While the child is deep asleep and pain-free (using general anesthesia), an incision is made over the breastbone (sternum). The deformed cartilages are removed and the rib lining is left in place to allow regrowth of the cartilages. 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 temporary chest tube may be placed to reexpand 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 on an outpatient basis. Most repairs are done between 18 months and 5 years of age. Indications: Repair of pectus excavatum may be recommended for: improved appearance (cosmetic repair) improved posture improved breathing ( respiratory function) Review Date: 2/20/2002 Reviewed By: Julie A. Miller, M.D., Department of Surgery, Royal Melbourne Hospital, Melbourne, Australia. Review provided by VeriMed Healthcare Network.

26. HighWire -- Browse Journals - Funnel Chest Browse Journals publishing on funnel chest, (return to Topic List page) Journals focusing on funnel chest (in order by highest focus) http://highwire.stanford.edu/lists/topic_dir/608683/618131/626183/626206/626215/

ANNOUNCEMENT: CHECK OUT THE PREVIEW RELEASE OF OUR NEW WEB SITE! My Favorite Journals ( HW-hosted journals HW-hosted Medline Author: Keyword(s): Year: Vol: Page: Home Adv. Search For Institutions For Publishers ... Sign in or register for access to all HighWire Press customization features Browse Journals publishing on Funnel Chest: (return to Topic List page) Funnel Chest Sort by: Alphabet Frequency of articles in Funnel Chest Focus of journal on Funnel Chest What's this? Journals focusing on Funnel Chest (in order by highest focus) Interactive CardioVascular and Thoracic Surgery info free SITE AAP Grand Rounds ... Musculoskeletal Abnormalities Funnel Chest Home Adv. Search For Institutions For Publishers ... partners/suppliers

27. IngentaConnect Funnel Chest: Filling Technique With Deep Custom Made Implant funnel chest filling technique with deep custom made implant. Authors ChavoinJP1; Dahan M.; Grolleau JL; Soubirac L.; Wagner A.; Foucras L.; Darbas D.; http://www.ingentaconnect.com/content/els/02941260/2003/00000048/00000002/art000

Home About Ingenta Ingenta Labs Help For Publishers Why go online? Why choose IngentaConnect? Why choose CustomConnect? Access and authentication ... Contact us For Researchers About IngentaConnect Search and browse Publications available Accessing articles ... Register For Librarians Why choose IngentaConnect? Why choose IngentaConnect Premium? Activating Subscriptions Purchasing articles ... Browse Publications Funnel chest: filling technique with deep custom made implant Authors: Chavoin J.P. ; Dahan M.; Grolleau J.L.; Soubirac L.; Wagner A.; Foucras L.; Darbas D.; Pomar P. Source: Annales de Chirurgie Plastique Esthetique , Volume 48, Number 2, April 2003, pp. 67-76(10) Publisher: Elsevier Science View Table of Contents full text options Keywords: Thorax en entonnoir Pectus excavatum Implants sur mesure Elastomere de silicone ... Silicone elastomer Language: French Document Type: Research article DOI: Affiliations: Service de chirurgie plastique et des brules, CHU Rangueil, 1, avenue J.-Poulhes, TSA 50032, 31059 cedex 9, Toulouse, France Access to this article is through a website external to IngentaConnect You may be required to register and activate access/purchase before you can obtain the full text.

28. Living With A Pectus Deformity Table 1 Reactions of patients 11 years and over with funnel chest (Einsiedel Table 2 Reactions in patients aged 1835 with funnel chest (Einsiedal http://www.pectus.org/livingwith.htm

UK Pectus Excavatum and Pectus Carinatum Information Site Living with a Pectus Deformity What is Pectus Excavatum/Carinatum? Living with a Pectus Deformity ... Sign our Guestbook Even with severe deformities, the heart and lungs have normal growth and development. However it is documented that pectus deformities affect heart and lung function (Haller and Loughlin, 2000, Fonkalsord and Bustorff-Silva, 1999). In pectus excavatum, it is believed that the heart is displaced to the left side of the chest, and there is a restriction of movement of the heart and lungs. Patients complain of a decrease in stamina and endurance during strenuous exercise (67%), frequent respiratory infections (32%), chest pain (8%) and asthma (7%) (Fonkalsord EW et al, 2000). However recognition of these symptoms remains controversial amongst physicians as the evidence that exists does not reliably and consistently demonstrate physiological limitations. Whilst the physiological effects of pectus deformities remains debatable, the psychological difficulties facing patients are evident and yet there is sparse published information regarding these. Some patients are able to accept and live happily with the shape of their chest; this is an important point as health care professionals frequently assume a person with a physical disfigurement has a negative image of himself (Anderson, 1982). However many patients with pectus deformities are affected with a negative self-image and low self-confidence. 'An unwillingness to be seen without a shirt while swimming and participating in sports or social activities,' is the most frequently quoted complaint. In fact living with a pectus deformity affects all areas of life (Table 1).

29. UK Pectus Excavatum And Pectus Carinatum Information Site chest wall deformities and are more popularly known as funnel chest or sunkenchest (pectus excavatum) and pigeon chest (pectus carinatum). http://www.pectus.org/

UK Pectus Excavatum and Pectus Carinatum Information Site Introduction What is Pectus Excavatum/Carinatum? Living with a Pectus Deformity ... Sign our Guestbook Welcome to our information site on pectus excavatum and pectus carinatum. Pectus deformities are the most common congenital chest wall deformities and are more popularly known as 'funnel chest' or 'sunken chest' (pectus excavatum) and 'pigeon chest' (pectus carinatum). This site has been designed primarily to provide those with a pectus deformity with information; to understand what a pectus deformity is, how and why it may affect you and how and where to get further advice. This site also provides links to many UK specialist hospitals treating patients with pectus deformities, to provide and share the most up to date, accurate information with doctors and nurses.

30. Unusual Combination Of Pulmonary Sequestration And Funnel Chest -- Iwa And Watan Cases of pulmonary sequestration and cases of funnel chest are frequentlyaccompanied by other anomalies, although the combination of pulmonary http://www.chestjournal.org/cgi/content/abstract/76/3/314

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This Article Order Full text via Infotrieve Submit a response Alert me when this article is cited Alert me when eLetters are posted ... Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Download to citation manager PubMed PubMed Citation Articles by Iwa, T. Articles by Watanabe, Y. ARTICLES Unusual combination of pulmonary sequestration and funnel chest T Iwa and Y Watanabe Cases of pulmonary sequestration and cases of funnel chest are frequently accompanied by other anomalies, although the combination of pulmonary sequestration and funnel chest is rare. In this study, we report ten cases of pulmonary sequestration, nine of which had the combination of pulmonary sequestration and other anomalies; four evidenced the unusual combination of pulmonary sequestration and funnel chest.

31. Severe Pectus Excavatum Associated With Cor Pulmonale And Chronic Respiratory Ac in this case is a severe pectus excavatum (funnel chest) deformity, in patients with funnel chest diagnosed by means of the computed tomogram. http://www.chestjournal.org/cgi/content/full/119/6/1957

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This Article Abstract Full Text (PDF) Submit a response ... Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed ... Cited by other online articles Search for citing articles in: ISI Web of Science (2) PubMed PubMed Citation Articles by Theerthakarai, R. Articles by Khan, M. A. Chest. American College of Chest Physicians Severe Pectus Excavatum Associated With Cor Pulmonale and Chronic Respiratory Acidosis in a Young Woman Ravichandran Theerthakarai, MD Walid El-Halees, MD Seyed Javadpoor, MD and M. Anees Khan, MD, FCCP Abstract TOP Abstract Introduction Case Report Discussion References Pectus excavatum has never been reported to cause hypercapnic respiratory failure. In this report, we describe the first such case in a young woman with severe pectus excavatum who presented with chronic respiratory acidosis, pulmonary hypertension, and chronic cor

32. UNC Surgeons Correct ‘funnel Chest’ Using Operation New To N.C. UNC surgeons correct ‘funnel chest’ using operation new to NC. By LESLIE H.LANG UNCCH School of Medicine. CHAPEL HILL In a medical first for North http://www.unc.edu/news/archives/feb99/funnel.htm

NEWS SERVICES 210 Pittsboro Street, Campus Box 6210 Chapel Hill, NC 27599-6210 (919) 962-2091 FAX: (919) 962-2279 www.unc.edu/news/ NEWS For immediate use Feb. 11, 1999 No. 112 By LESLIE H. LANG UNC-CH School of Medicine CHAPEL HILL In a medical first for North Carolina, pediatric surgeons at the University of North Carolina at Chapel Hill have corrected a common chest-wall deformity called "funnel chest" by using a simpler, new operation. An 18-year-old male patient at UNC Hospitals has undergone improved treatment for pectus excavatum, a condition that occurs roughly once in every 2,000 U.S. births. Pectus excavatum displaces the sternum, or breastbone, rearward and leaves a deep groove in the chest, making it appear caved in. Stooped shoulders and poor posture exaggerate the effect, which carries both a physiological and a psychological burden, says Dr. Don K. Nakayama, professor and chief of pediatric surgery at the UNC-CH School of Medicine "The physiologic effect is that the chest doesn’t expand normally," he said. "While the children are able to breathe and measure normal in pulmonary function studies, most complain of easy fatigability and shortness of breath. In gym class, these may be the kids toward the back when they’re running around the track. And during summer, they’re the kids with T-shirts on when they go swimming." Nakayama said children commonly become self-conscious about the appearance of their chest.

33. Funnel Chest (pectus Excavatum) - Talk Medical Humanfriendly medical definition of funnel chest (pectus Excavatum) http://www.talkmedical.com/medical-dictionary/5899/Funnel-Chest-pectus-Excavatum

Home Medications Medical Dictionary Talk Medical ... Medical Dictionary Newsletter Subscribe to the free monthly health digest. Relevant health articles just for you. Tell a friend Funnel Chest (pectus Excavatum) Funnel chest (pectus excavatum): "Caved-in" chest. Usually an unimportant isolated finding evident at birth. (Funnel chest can occasionally be part of a connective tissue disorder such as Marfan syndrome). Print this page About Talk Medical Help Contact Us ... Terms and Conditions

34. Science Blog -- UNC Surgeons Correct "Funnel Chest" With New Surgery 1999. From University of North Carolina at Chapel Hill UNC Surgeons Correct FunnelChest With New Surgery. CHAPEL HILL, NC In a medical first for http://www.scienceblog.com/community/older/1999/E/199904038.html

From: University of North Carolina at Chapel Hill UNC Surgeons Correct "Funnel Chest" With New Surgery CHAPEL HILL, N.C. In a medical first for North Carolina, pediatric surgeons at the University of North Carolina at Chapel Hill have corrected a common chest-wall deformity called "funnel chest" by using a new, simpler operation. An 18-year-old male patient at UNC Hospitals has undergone improved treatment for pectus excavatum, a condition that occurs roughly once in every 2,000 U.S. births. Pectus excavatum displaces the sternum, or breastbone, rearward and leaves a deep groove in the chest, making it appear caved-in. Stooped shoulders and poor posture exaggerate the effect, which carries both a physiological and a psychological burden, says Dr. Don K. Nakayama, professor and chief of pediatric surgery at the UNC-CH School of Medicine. "The physiologic effect is that the chest doesn't expand normally," he explains. "While the children are able to breathe and measure normal in pulmonary function studies, most complain of easy fatigability and shortness of breath. In gym class, these may be the kids toward the back when they're running around the track. And during summer, they're the kids with T-shirts on when they go swimming." Nakayama also points out that children commonly become self-conscious about the appearance of their chest. "All you have to do is look at newsstand magazine racks and you'll see how important chest appearance is to boys and girls. So this condition is very discomfiting, particularly when the child reaches adolescence. They become very self-conscious."

35. Mechanism Of Pulmonary Function Changes After Surgical Correction For Funnel Che Mechanism of pulmonary function changes after surgical correction for funnel chest.L Derveaux, I Ivanoff, F Rochette, and M Demedts http://erj.ersjournals.com/cgi/content/abstract/1/9/823

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This Article Order Full text via Infotrieve Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Cited by other online articles PubMed PubMed Citation Articles by Derveaux, L Articles by Demedts, M Eur Respir J 1988; 1: 823-825 ERS Journals Ltd Original Articles Mechanism of pulmonary function changes after surgical correction for funnel chest L Derveaux, I Ivanoff, F Rochette, and M Demedts In 24 subjects with pectus excavatum we evaluated whether the previously detected unfavourable effects of corrective surgery on the ventilatory capacity were attributable to pulmonary or to chest wall factors. We found that 12.2 +/- 3.7 yrs postoperatively (i.e. at the age of 23.3 +/- 5.4 yrs) the vital capacity was decreased from 89 +/- 10% predicted (pred) preoperatively to 64 +/- 6% pred (p less than 0.001) and forced expiratory volume in one second from 88 +/- 17 to 66 +/- 11% pred (p less than 0.001). At total lung capacity (TLC; 69 +/- 5% pred) we found an obvious reduction in transpulmonary pressure (59 +/- 23% pred) and in transdiaphragmatic pressure (30 +/- 17 cmH2O) postoperatively. This indicated an extrapulmonary cause of the restrictive defect, attributable to abnormal chest wall mechanics secondary to the extensive surgery on the sternum and parasternal zones.

36. Asymmetrical Funnel Chest WWWsite Causes and Types Asymmetrical funnel chest. Printversion Causes andTypes Symmetrical funnel chest Asymmetrical funnel chest http://www.trichterbrust.klinikum.uni-erlangen.de/e16/e32/index_eng.html

@import "http://www.trichterbrust.klinikum.uni-erlangen.de/common.css"; @import "http://www.trichterbrust.klinikum.uni-erlangen.de/stylesheet.css"; @import "http://www.trichterbrust.klinikum.uni-erlangen.de/custom.css"; WWW-site Causes and Types Printversion Causes and Types Symmetrical Funnel Chest Asymmetrical Funnel Chest Projections of the ribcage ... Contact Asymmetrical Funnel Chest Here the deepest point of the indrawing of the chest lies away from the mid-line, in the region of the costal cartilage which joins the breastbone to the ends of the ribs, usually on the right side (rarely on the left). Asymmetry of the anterior chest wall is often associated with deformities of the thoracic spine. These should be investigated as early as possible by an orthopaedic specialist, so that specific exercises can be prescribed to correct them. It also gives rise to asymmetrical forces and displacement of the organs of the chest, particularly the heart and the great blood vessels.

37. Symmetrical Funnel Chest Even when funnel chest seems symmetrical, on closer examination one side, usuallythe right, is deeper than the other. For this reason we always carry out http://www.trichterbrust.klinikum.uni-erlangen.de/e16/e21/index_eng.html

@import "http://www.trichterbrust.klinikum.uni-erlangen.de/common.css"; @import "http://www.trichterbrust.klinikum.uni-erlangen.de/stylesheet.css"; @import "http://www.trichterbrust.klinikum.uni-erlangen.de/custom.css"; WWW-site Causes and Types Printversion Causes and Types Symmetrical Funnel Chest Asymmetrical Funnel Chest Projections of the ribcage ... Child Symmetrical Funnel Chest Even when funnel chest seems symmetrical, on closer examination one side, usually the right, is deeper than the other. For this reason we always carry out cross-sectional imaging of the chest with CT (computed tomography) in order to plan the operation in detail.

38. Funnel Chest; Indications For Surgery And The Time Of Choice For Operation -- Bi funnel chest is a deformity seen frequently in both children and adults. It rarelycauses disability in children. When patients reach maturity a lack of http://pediatrics.aappublications.org/cgi/content/abstract/11/6/581

QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This Article P Rs: Submit a response Alert me when this article is cited Alert me when P ... Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to My File Cabinet ... Download to citation manager PubMed Articles by Bill, A. H., Jr. Pediatrics, Jun 1953, 581-587, Vol 11, No. 6 Funnel chest; Indications for surgery and the time of choice for operation AH Bill Jr. Department of Surgery of the University of Washington School of Medicine and the Children's Orthopedic Hospital, Seattle. Funnel chest is a deformity seen frequently in both children and adults. It rarely causes disability in children. When patients reach maturity a lack of definite information exists as to whether the deformity is injurious to health. This study proposes to investigate the status of patients in later life in relation to whether operation should be suggested in childhood. The study is based upon an analysis of a questionnaire as to the fate of adult patients with untreated funnel chest submitted to a group of physicians and surgeons with wide experience in diseases of the chest. It is also based

39. UNC Health Care - UNC Surgeons Correct ‘funnel Chest’ Using Operation In a medical first for North Carolina, pediatric surgeons at the University ofNorth Carolina at Chapel Hill have corrected a common chestwall deformity http://www.unchealthcare.org/site/newsroom/news/1999/Feb/release_2_3_1999

@import url(http://www.unchealthcare.org/ploneColumns.css); @import url(http://www.unchealthcare.org/plone.css); @import url(http://www.unchealthcare.org/ploneCustom.css); Search Home About Us Find a Doctor ... Public Affairs and Marketing Office Quick Links UNC Health Care N.C. Children's Hospital N.C. Women's Hospital Rex Healthcare ... UNC-Chapel Hill You are here: Newsroom News Release Archives Feb Document Actions NEWS SERVICES 210 Pittsboro Street, Campus Box 6210 Chapel Hill, NC 27599-6210 (919) 962-2091 FAX: (919) 962-2279 www.unc.edu/news/newsserv For immediate use Feb. 11, 1999 No. 112 UNC surgeons correct ‘funnel chest’ using operation new to N.C. By LESLIE H. LANG UNC-CH School of Medicine CHAPEL HILL In a medical first for North Carolina, pediatric surgeons at the University of North Carolina at Chapel Hill have corrected a common chest-wall deformity called "funnel chest" by using a simpler, new operation. An 18-year-old male patient at UNC Hospitals has undergone improved treatment for pectus excavatum, a condition that occurs roughly once in every 2,000 U.S. births. Pectus excavatum displaces the sternum, or breastbone, rearward and leaves a deep groove in the chest, making it appear caved in. Stooped shoulders and poor posture exaggerate the effect, which carries both a physiological and a psychological burden, says Dr. Don K. Nakayama, professor and chief of pediatric surgery at the UNC-CH School of Medicine.

40. Pectus Excavatum Alternative Names. funnel chest The child typically has a depression in thecenter of the chest over the sternum, and this may appear quite deep. http://www.ehendrick.org/healthy/003320.htm

Injury Disease Nutrition Poison ... Treatment Pectus excavatum Definition Pectus excavatum is the descriptive term for an abnormal formation of the rib cage, in which the distance from the breastbone (sternum) to the backbone (vertebrae) is decreased, giving the chest a caved-in or sunken appearance. Alternative Names Funnel chest Considerations Pectus excavatum is a congenital abnormality that can be mild or severe. The child typically has a depression in the center of the chest over the sternum, and this may appear quite deep. It is caused by excessive growth of the costosternal cartilage (the connective tissue joining the ribs to the breastbone), which causes an inward deformity of the sternum. If pectus excavatum is severe, it may affect the heart and lungs, making exercise difficult. Also, the appearance of the chest may cause psychological difficulty for the child. Pectus excavatum may occur as the only abnormality, or in association with other syndromes. Causes Isolated defect (i.e., not associated with other problems) Familial pectus excavatum Marfan's syndrome Rickets Review Date: 1/20/2004 Reviewed By: John Goldenring, M.D., M.P.H., Children's Hospital, San Diego, CA. Review provided by VeriMed Healthcare Network.

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