Doctor insights on:
Pectum chest contour: Pectum deformities can be minor and only have aesthetic concerns like a bulge or a concavity vs those with a significant functional element as well.The latter ones are corrected by essentially cutting out the depressed area in the pectum excavatum cases and expanding the chest. While the aesthetic cases can be dealt with by what i call camouflage procedures. Consult with your local plastic surgeon. ...Read moreSee 3 more doctor answers
Pectus Excavatum: The life expectancy of most patients with pectus excavatum should be normal. However, severe cases may have cardiac compression. Cardiac dysfunction and arrhythmias have been reported with severe cases. Moreover, some cases may be associated with marfan's syndrome. For that reason, evaluation by a physician with expertise in the management of pectus excavatum is recommended. ...Read moreSee 1 more doctor answer
Little lung damage: Pectus looks like it should cause a lot of problems for the lungs, but there is a much greater cosmetic problem than lung problem. Lung function tests are usually normal or very close to normal in patients considering repair of even severe pectus. If the chest deformity is part of a syndrome (or more extensive than just pectus), then under-development of the lung may also be part of the syndrome. ...Read more
Yes: Yes. The two are unrelated.Get a more detailed answer ›
What would be the acceptable size range of pectus bar for a nuss procedure on an adult? Specifically my chest is 48cm from left-right midaxillary.
Fit: Job of Surgeon: Nuss bars come in multiple sizes & in all cases are hand fit/bent/curved to fit the chest through & around which 1, 2 or rarely 3 are applied to & then sutured into position. The bars do not straighten the chest wall per se. Like an angioplasty stent, the purpose of nuss bars is simply to hold the chest wall in a better position, after excavatum shape has been broken, during healing & growth. ...Read moreSee 2 more doctor answers
Pectus Carinatum: Pectus Carinatum is a type of congenital chest wall malformation in which the sternum and ribs have a protrusion deformity. It rarely causes any major problems other than the cosmetic abnormality of the chest. Here is a link with more information: http://academicdepartments.musc.edu/surgery/divisions/pediatric/Pectus_Carinatum_FAQ.pdf ...Read moreSee 1 more doctor answer
Surgery: At 50 years of age do you really want surgery that at this point is purely cosmetic. You should consult a thoracic surgeon for the details of a surgical procedure to reshape your chest wall. Without examining you, there is no way to tell the extent of the operation. ...Read moreSee 1 more doctor answer
Pectus Carinatum: Patients with pectus carinatum can be treated without surgical intervention using and external chest brace. This technique was developed by a surgeon in Brazil more than 20 years ago and it is considered first line therapy. It is effective when properly used, particularly in young patients ...Read more
Pectus carinatum: Most pediatric patients (less than 18 years of age) can be treated for pectus carinatum with the use of an external chest brace. The brace is not very effective for adult patients. Surgery is an option with very good results. Unfortunately most insurance companies will not cover the cost of surgery since it is considered not medically necessary. ...Read moreSee 1 more doctor answer
Pectus Carinatum: There are very few symptoms associated with the deformity, but in some cases children will experience tenderness and pain during exercises or other times of increased respiratory effort. Moreover, it is well recognized that pectus carinatum may lead to psychosocial problems in teenagers and young adults. The condition is not life-threatening. ...Read moreSee 1 more doctor answer
Pectus Carinatum: Protrusion deformity of the ribs in children is usually treated with an external chest brace. Most adult patients do not require treatment. Bracing is less likely to work in adults. However, in severe cases, surgery is an option. Here is a link with helpful information about pectus carinatum: http://academicdepartments.musc.edu/surgery/divisions/pediatric/Pectus_Carinatum_FAQ.pdf ...Read more
I have a pectus excavadum and my mammogram is always incomplete. What can they do for a thorough evaluation?
MRI: You could consider doing a bilateral breast MRI if for some anatomical reason they are unable to perform a mamogram. It is more expenisve, and dose appear to be a more sensitive test, but has a higher rate of false positive. Most insurers will deny this test for screening in patients who are not at a hightened risk of breast cancer, but it may be worth a try. ...Read moreSee 2 more doctor answers