41. Pectus Excavatum Repair Surgery to correct , a deformity of the front of the chest wall with depressedbreastbone Alternative Names. funnel chest repair; Chest deformity repair http://www.ehendrick.org/healthy/002949.htm

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. A newer, less invasive approach involves the placement of a curved steel bar beneath the sternum to elevate the deformed sternum and cartilages without removal of any bone or cartilage. The bar is later removed, after two to four years. There are advantages and disadvantages compared to the more invasive approaches, and long-term results with this approach are not yet available.

42. Entrez PubMed BACKGROUND When considering the indications for operative correction of funnelchest, the first que http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1

43. Entrez PubMed Although funnel chest is the most frequently seen deformity of the anterior chestwall in children, http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1

44. Chest Deformity - Patient UK (funnel chest); Pectus Carinatum (Pigeon chest); and Chest deformity due Pectus Excavatum (funnel chest) Pectus Excavatum is a congenital anomaly. http://www.patient.co.uk/showdoc/40001822/

PatientPlus articles are written for doctors and so the language can be technical. However, some people find that they add depth to the articles found in the other sections of this website which are written for non-medical people. Chest Deformity Pectus Excavatum (Funnel chest); Pectus Carinatum (Pigeon chest); and Chest deformity due to Scoliosis Pectus Excavatum (Funnel chest) Pectus Excavatum is a congenital anomaly. The sternum is depressed. The total vital capacity of the chest is reduced. The defect is not usually visible when clothed therefore there is not a great pressure for treatment. Occasionally the thoracic volume is reduced severely and there is pressure on the organs enough to compromise respiration and cardiac dynamics. There are electrocardiography changes associated with up to 80% of the cases. The sternal area is notorious for colloid scar formation, and classic surgery leaves a long scar. It is now possible to insert implants and carry out the correction via an endoscope, approaching from an umbilical site of entry,reducing the size of the scar, time in hospital and post operative recovery . This operation usually corrects cosmetic appearance but not the electrcardiographic abnormalities. Therefore in most cases it is no more than a cosmetic operation carried out in teenagers to avoid embarrasment. Pectus Carinatum (Pigeon chest) (carina=keel shaped) is a condition where the sternum is raised. This used to be associated with rickets. Nowadays there is usually an associated history of

45. Operation For Acute Aortic Dissection 13 Years After Operation For Funnel Chest that developed 13 years after sternal turnover surgery for funnel chest. incision is made on the sternum after operation on the funnel chest, http://square.umin.ac.jp/jscvs/eng/journal/vol30-1/33.html

Operation for Acute Aortic Dissection 13 Years after Operation for Funnel Chest in Marfan Syndrome (Department of Cardiovascular Surgery, Iwakuni National Hospital, Iwakuni, Japan and Department of Cardiovascular Surgery, Tsuyama Central Hospital*, Tsuyama, Japan) Yuji Kanaoka* Kazuo Tanemoto Takashi Murakami Keiichiro Kuroki Hitoshi Minami Masahiko Kuinose @Jpn. J. Cardiovasc. Surg. 30: 33-35 (2001)

46. Profiles funnel chest, although usually only mildly present at birth, becomes more They learned over time that surgical correction of funnel chest had evolved http://www.gmtoday.com/features/health/healthstory11.asp

News Business Technology State Sports AP Sports AP National AP World Lottery Traffic TimeOut Features Calendar Perf. Arts Night Life Television Movies LifeStyle Travel Health Fitness Nutrition Restaurants Cuisine Home Computers Galleries Books Pets Weddings Fashion Family Local News Waukesha Oz-Washington Racine Dodge Market Place Classifieds AutoSeller Career Connection A new chest for Alex by Gary L. Wickert August 1999 T he moment Alex was born, over nine years ago, Teri Edmunds and her husband, Doug, could tell something was wrong. Although the second of their three children weighed nearly 11 pounds, Alex’s chest was dramatically sunken, the result of a rare congenital hereditary deformity known as pectus excavatum, or "funnel chest." Doctors assured the new parents that Alex was healthy, but that the inward-facing sternum might eventually apply pressure to the newborn’s chest organs as the child grew, causing shortness of breath and a restricted growth of the heart and lungs. "I was so scared," Teri recalled. "His little chest totally collapsed with every breath."

47. Funnel Chest Recovery - Day 4-5 Pectus Excavatum funnel chest This following web pages are provided for http//www.curtis.anderson.name/2003/austin/funnel/chest/surgery/updates/day4 http://www.curtis.anderson.name/2003/austin/funnel/chest/surgery/updates/day4-5.

Austin Anderson's Surgery Aug. 4-5, 2003: Routine Recovery Pectus Excavatum - Funnel Chest This following web pages are provided for general information and progress updates of Austin's surgery and recovery for our many family members and friends. http://www.curtis.anderson.name/2003/austin/funnel/chest/surgery/updates/day4-5.htm Click on each x-ray to enlarge. Aug. 6 General Information Austin's Problem Pre Exam / Scans / Dr. Nuss ... Austin's Surgery

48. WPHC Press Release: Winter, 2002 Minimally Invasive Surgery to Correct funnel chest in Children and Teens Hospitalis the Major Center in Westchester to http://www.wphospital.org/WhatsNew/funnel chest surgery.htm

CONTACT: Mary T. Prenon or Karen Burris Lennon FOR IMMEDIATE RELEASE: White Plains Hospital Center Offers Minimally Invasive Surgery to Correct Funnel Chest in Children and Teens Hospital is the Major Center in Westchester to Offer Procedure for Condition Affecting 1 in 1,000 Youths (White Plains, NY December White Plains Hospital Center (WPHC) is offering a minimally invasive surgery to correct the pectus excavatum, or commonly known as funnel chest, which currently affects about one in 1,000 children. The new procedure reduces surgery time and results in a quicker, less painful recovery for the patient. The Nuss Procedure was developed a few years ago by Donald Nuss, M.D., a pediatric surgeon at the Children’s Hospital of The King’s Daughters in Norfolk, VA. Peter Liebert, M.D., Chief of Pediatric Surgery at WPHC, has studied and worked with Dr. Nuss, and has since been performing the procedure at White Plains Hospital Center. Dr. Liebert is the pediatric surgeon with the most experience currently performing this procedure in Westchester. “Depression in the sternum and anterior chest interferes with respiratory functions and causes displacement of the heart and major blood vessels in the chest,” said Dr. Liebert. “Many children with sunken or funnel chests can develop shortness of breath, as well as chest pains.”

49. Sunken Chest, - Less Traumatic Surgery For Sunken Chest In Children And Adults Pectum Excavatum, funnel chest, Chest Surgery. Children and teenagers whosuffer from a condition called funnel chest, or pectus excavatum, http://www.dentalplans.com/Dental-Health-Articles/Less-Traumatic-Surgery-For-Sun

DentalPlans.com Dental Health Articles Family Health Sunken Chest, Less Traumatic Surgery For Sunken Chest in Children and Adults Children and teenagers who suffer from a condition called funnel chest, or pectus excavatum, in which the chest wall becomes caved-in, now have a safe, effective and simpler surgical alternative to correct the condition, according to an article in a recent issue of the Annals of Thoracic Surgery. “The new technique reconstructs the chest wall in one operation by using plastic mesh bands instead of a metal plate with a body brace,” said Jeffrey Gold, MD, Cardiothoracic Surgeon at Montefiore Medical Center and senior author of the article. “And, the bands do not have to be removed, because the body heals around them.” The standard treatment for funnel chest involves wearing an uncomfortable body brace and undergoing two surgical procedures one to remove extra cartilage in the rib cage and to insert a metal plate behind the sternum, and another, later on, to remove the plate. Dr. Gold, who has used the breakthrough technique over the past decade, says it has successfully corrected the sunken chest of all 52 patients he treated and has been “extremely well accepted by patients and families.” The patients included 32 females and 20 males who ranged in age from 4 to 39 years.

50. RICKETS / VITAMIN D DEFICIENCY IN CHILDREN / RENAL RICKETS / RENAL the breastbone (pigeon chest or pectus carinatum), funnel chest (pectus excavatum), that is a symptom of rickets which is also called funnel chest. http://www.medindia.net/Patients/PatientInfo/rickets.htm

RICKETS / VITAMIN D DEFICIENCY IN CHILDREN / RENAL RICKETS / RENAL OSTEODYSTROPHY / PAEDIATRIC OSTEOMALACIA General info about Rickets Rickets is a deficiency of Vitamin D which is also known by many other names like Osteomalacia, Renal Osteodystrophy, Paediatric Osteomalacia, Vitamin D deficiency and Renal Rickets. This disease involves softening and weakening of bones in children due to deficiency of Vitamin D. This softening occurs from a loss of the mineral calcium from the skeleton as a result of which bones become flexible and gradually are molded by forces, such as bearing weight, that are exerted on them. This condition could lead to deformities of the body structure. Rickets is most likely to occur during periods of rapid growth, when the body demands high levels of calcium and phosphate. Rickets may be seen in young children 6 to 24 months old and is uncommon in newborns. What are the causes of rickets? The main cause of rickets is the deficiency of vitamin D caused in the body during childhood. Vitamin D is a fat-soluble vitamin that may be absorbed from the intestines or may be produced by the skin when the skin is exposed to sunlight (ultraviolet light of sunlight helps the body to form vitamin D). The absorbed vitamin D is converted into its active form to act as a hormone to regulate calcium absorption from the intestine and to regulate levels of calcium and phosphate in the bones. If there is a deficiency of Vitamin D, the body is unable to properly regulate calcium and phosphate levels. When the blood levels of these minerals become too low, it results in destruction of the support matrix of the bones.

51. HemiHelp -> Funnel Chest funnel chest, do you have any experience of A family friend suggested thatit may be funnel chest, we have never heard of this although it is apparently http://www.board.hemihelp.org.uk/index.php?showtopic=471

52. HemiHelp > Funnel Chest A family friend suggested that it may be funnel chest, we have never heard ofthis although it is apparently linked to prematurity. http://www.board.hemihelp.org.uk/lofiversion/index.php/t471.html

Help Search Member List Calendar Full Version: funnel chest HemiHelp Hemiplegia linternmole Jul 19 2005, 07:51 PM We were wondering if anyone has had any experience which they would share with us. Dylan is being seen in 3 months so want to gain as much information as I can can. Thanks Pat This is a "lo-fi" version of our main content. To view the full version with more information, formatting and images, please click here Invision Power Services, Inc.

53. Dr. Jillian Roberts > Nuss Pectus Excavatum Preliminary Findings Pectus Excavatum is a chestwall deformity, known as “funnel chest”. funnel chest is the most common congenital hereditary chest wall deformity. http://www.educ.uvic.ca/faculty/jjrobert/research/npe.htm

Home Research Nuss Pectus Excavatum Congenital Heart Disease ... Contact PRELIMINARY FINDINGS Children Who Have Undergone the Nuss Pectus Excavatum Procedure Purpose of Study To better understand the quality of life experiences of children who have undergone the Nuss Pectus Excavatum Procedure. To develop a more comprehensive foundation of knowledge allowing medical and school professionals to better care for these children. Specific Project Aims To better understand what life is like for these children after the surgical procedure. To identify changes in quality of life from the perspective of the children. To identify changes in quality of life from the perspective of the parents. What is Pectus Excavatum? Nuss Pectus Excavatum Procedure new window to view detailed photos of the Nuss procedure. Pop up a new window to view photos of other procedures.

54. Community Hospital Of Los Gatos Pectus Excavatum, or funnel chest, is a deformity that occurs in approximately1 in 500 to 1000 children, and is often referred to as sunken or funnel http://www.communityhospitallg.com/CWSContent/communityhosplosgatos/ourServices/

Search Options Home Contact Us Newsletter Sign-up Medical Services Our Services Medical Services Community Programs Online Services Pectus Excavatum What is Pectus Excavatum? Pectus Excavatum , or funnel chest, is a deformity that occurs in approximately 1 in 500 to 1,000 children, and is often referred to as "sunken" or "funnel" chest. In this condition, the lower half of the breastbone, or sternum, and the cartilages become deformed, creating a depression in the chest. The depression can be in the center of the chest, or off to one side. It can be mild or deep. It often is mild or does not exist in very young children, and develops or deepens with growth. The deformity is not purely cosmetic. When moderate or severe it can cause abnormalities of the heart or lungs. It can lead to serious problems with breathing. It can cause difficulty during exercise due to an inability to get enough oxygen into the body. It can cause the individual to tire easily. It can cause asthma, or an increase in infections of the lungs. In approximately 15% of people scoliosis is present. Spontaneous improvement does not occur. Minimally Invasive Procedure The deformity may be surgically corrected with a minimally invasive procedure. Traditional surgery for Pectus Excavatum involves dividing the breastbone and the ribs or connecting cartilages. It can be painful, and may leave a very large scar on the chest. Minimally invasive surgery results in less blood loss compared to the traditional or standard surgery. A minimally invasive procedure has been developed to reduce many of these complications. This procedure involves inserting a small scope into the chest. A metal bar, which has been prebent to the desired corrective position, is then inserted across the chest. No bone or cartilage is cut. Three small

55. Plastic And Reconstructive Surgery - UserLogin Aesthetic Correction of Mild funnel chest with Autologous Tissue Augmentation The main purposes for treatment of funnel chest have been both aesthetic http://www.plasreconsurg.com/pt/re/prs/fulltext.00006534-199703000-00047.htm

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56. Plastic And Reconstructive Surgery - UserLogin Comparing Minimally Invasive funnel chest Repair versus the Conventional TechniqueAn Outcome Analysis in Children. Boehm, Roland AMD; Muensterer, http://www.plasreconsurg.com/pt/re/prs/fulltext.00006534-200409010-00007.htm

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57. Pectus Excavatum: FAQ On Surgery, Exercises & MVP of the genesis of mitral valve prolapse in patients with funnel chest. In 44 patients with funnel chest, 20 (45%) had MVP (mitral valve prolapse) and http://www.ctds.info/pectus_excavatum_faq.html

Con nective Tissue Disorder Home Search Site Map ... Links Pectus Excavatum Frequently Asked Questions What can you tell me about surgery for PE I have PE and I get weird pains and palpitations in my chest and heart Should everyone with PE have an echocardiogram? Read my Related Pages in this Series Pectus Excavatum - Genetic and Nutritional Factors Exercises for PE FAQ - Part I FAQ - Part II Question : What can you tell me about surgery for pectus excavatum Answer One point to note is that if I had to do my pectus excavatum surgery over again, I would only go to a surgeon who specialized in pectus excavatum repair. I had my operation when I was 17 and didn't know how to evaluate and compare surgeons, so I just went to a a thoracic surgeon referred to me by my family doctor. The surgeon I went to did not specialize in PE repair, and I realize now he probably had not done very many, if any, of these types of surgeries and was not aware of the latest techniques. I suspect my surgery results would have turned out better if I had gone to someone with more expertise in just pectus excavatum repair. If I ever have a pectus excavatum redo, I would only go to someone who specialized in sunken chest surgery, was up on the latest surgical techniques and was recommended by other people who had pectus excavatum repairs done by him/her. One person who wrote to me asked a prospective surgeon for some before and after pictures of his work. This sounded like a good idea.

58. CHKD: Nuss Procedure For Pectus Excavatum Wallgren GR, Sulamaa M Surgical treatment of funnel chest. Exhib. VIII, Internat.Cong. Paediat. 1956, p32. Paltia V, Parkkulainen KV, Sulamaa M, http://www.chkd.org/pectus/pectus_history.asp

More Health Information Adolescent Medicine Allergy/Immunology Anesthesiology Arthritis Burns Cardiology Craniofacial Dental Medicine Dermatology Developmental Peds Diabetes Digestive Ear, Nose, Throat Genetics Gastroenterology Growth Hematology High Risk Newborn High Risk Pregnancy Infectious Disease Mental Health Neonatology Nephrology Neurology Normal Newborn Normal Pregnancy Oncology Ophthalmology Orthopedics Otolaryngology Pediatric Intensive Care Pediatric Surgery Pediatrics Physical Medicine Plastic Surgery Respiratory/Pulmonology Rheumatology Safety Surgery Terminal Transplant Urology Site Search The Nuss Procedure for Pectus Excavatum History of Pectus Excavatum By Donald Nuss, MD Early Documentation Pectus excavatum, also known as sunken chest, is a congenital chest wall deformity in which several ribs and the sternum grow abnormally, appearing concave or caved-in. It is known that pectus excavatum was recognized in antiquity and that and as early as the 16th century Johan Schenck (1531-1590) collected literature on the subject . A classic paper by Bauhinus in 1594, described the clinical features of pectus excavatum in a patient who suffered from pulmonary compression with dyspnea (shortness of breath) and paroxysmal cough as a result of a severe pectus excavatum

59. CHKD: About Us: Services And Programs - Surgical Services - Pediatric Surgery (G It is also called sunken or funnel chest. In severe cases, corrective surgerymay be necessary. In the past, a variety of radical procedures were advocated. http://www.chkd.org/about_us/general_surgery.asp?Speciality=Pediatric Surgery

60. Orthoguide.com Funnel Chest Search AltaVista for funnel chest Global Search Add Url - Free Medline -Contact Us - Search. Enter Keywords to Search and Your Choice of Search http://www.orthoguide.com/ortho/Funnel_Chest.php3

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