CHEST WALL DEFORMITIES

Overview

Chest deformities affect around one-in-400 people and usually become more severe during adolescence. Some patients complain of chest pain and may undergo many investigations without any cause for their symptoms being found.

 

We provide a comprehensive evaluation and treatment of birth defects such as funnel chest (Pectus excavatum) and pigeon chest (Pectus carinatum), using minimally invasive surgical techniques and non-surgical treatments.

 

Our multidisciplinary team includes specialist thoracic nurses, anaesthetists, occupational and physical therapists. Any chest x-rays or other images required are examined by a dedicated specialist thoracic radiologist.

 

Our minimally invasive surgical techniques reduce scarring and we have developed very effective ways of minimising pain and using physical therapy to help patients return to normal activities more quickly. You will receive detailed advice on any necessary restrictions after treatment.

 

Funnel chest (Pectus excavatum)

Surgical correction: Mr Marco Scarci is experienced in minimally invasive surgery (called the Nuss procedure) for treating both children and adults.

 

  • Carried out using an epidural for pain control.
  • Two incisions either side of the breastbone and a curved steel support bar inserted under the breastbone and fixed to the ribs. This stays in place for 2–3 years.
  • Hospital stay: 4–5 days.
  • Follow-up with Mr Scarci: at 2 weeks, one month, three months, and six months after the operation.
  • Removal of the support bar: 2–3 years later as a day-case operation under a quick general anaesthetic.

 

Non-surgical correction: In young patients with a flexible chest and symmetric defect we get good results using a vacuum bell device that literally ‘sucks’ the chest up. The device needs to be worn for several hours every day.

 

We have the expertise to achieve excellent results correcting even the most complex deformity, using the vacuum bell as part of a combined surgical and non-surgical treatment.

 

Pigeon chest (Pectus carinatum)

Surgical correction: An incision is made across the chest and the overgrowth of cartilage between the ribs and breastbone is removed. The breastbone is then placed in the usual flat position, with titanium bars sometimes used to stabilize the chest.

 

  • Hospital stay: 2–3 days.
  • Recovery: a thin soft corset, barely visible under clothes, is worn around the chest for the first few weeks. Patients can usually resume all normal activities within three months.

 

Non-surgical correction: Mr Scarci would be very happy to discuss options and suggest the very best and most appropriate treatment for your child. Rather than a ‘one size fits all’ solution, we use the latest model of custom-made pectus brace, which has many important benefits:

 

  • Applies pressure on exactly the most prominent part of the breastbone, for maximum effectiveness.
  • Designed to be barely noticeable under normal clothes –particularly appreciated by younger patients in school.
  • Can be customized perfectly to treat even asymmetric defects.
  • Allows us to measure accurately the pressure needed to achieve correction, without being too tight and uncomfortable, or too loose to provide any correction.
  • Shorter treatment time and much lower failure rate than with other brace designs.

 

 

Make An Appointment

Treatments

Pectus Excavatum Discharge Advice

Pectus Carinatum Family Guide

Bracing equipment

CONTACT

LET'S TALK...

If you have any questions, or would like to book a clinical or medicolegal consultation, please contact me by phone, email or using the contact form.

 

 

CAMBRIDGE: +44 (0)1223 479125

LONDON: +44 (0)20 3011 2006

FAX: +44 (0)1223 755125

MOBILE: +44 (0)758 255 0292

EMAIL: enquiries@marcoscarci.co.uk

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Overview

Chest deformities affect around one-in-400 people and usually become more severe during adolescence. Some patients complain of chest pain and may undergo many investigations without any cause for their symptoms being found.

 

We provide a comprehensive evaluation and treatment of birth defects such as funnel chest (Pectus excavatum) and pigeon chest (Pectus carinatum), using minimally invasive surgical techniques and non-surgical treatments.

 

Our multidisciplinary team includes specialist thoracic nurses, anaesthetists, occupational and physical therapists. Any chest x-rays or other images required are examined by a dedicated specialist thoracic radiologist.

 

Our minimally invasive surgical techniques reduce scarring and we have developed very effective ways of minimising pain and using physical therapy to help patients return to normal activities more quickly. You will receive detailed advice on any necessary restrictions after treatment.

Funnel chest (Pectus excavatum)

Surgical correction: Mr Marco Scarci is experienced in minimally invasive surgery (called the Nuss procedure) for treating both children and adults.

 

  • Carried out using an epidural for pain control.
  • Two incisions either side of the breastbone and a curved steel support bar inserted under the breastbone and fixed to the ribs. This stays in place for 2–3 years.
  • Hospital stay: 4–5 days.
  • Follow-up with Mr Scarci: at 2 weeks, one month, three months, and six months after the operation.
  • Removal of the support bar: 2–3 years later as a day-case operation under a quick general anaesthetic.

 

Non-surgical correction: In young patients with a flexible chest and symmetric defect we get good results using a vacuum bell device that literally ‘sucks’ the chest up. The device needs to be worn for several hours every day.

 

We have the expertise to achieve excellent results correcting even the most complex deformity, using the vacuum bell as part of a combined surgical and non-surgical treatment.

Pigeon chest (Pectus carinatum)

Surgical correction: An incision is made across the chest and the overgrowth of cartilage between the ribs and breastbone is removed. The breastbone is then placed in the usual flat position, with titanium bars sometimes used to stabilize the chest.

 

  • Hospital stay: 2–3 days.
  • Recovery: a thin soft corset, barely visible under clothes, is worn around the chest for the first few weeks. Patients can usually resume all normal activities within three months.

 

Non-surgical correction: Mr Scarci would be very happy to discuss options and suggest the very best and most appropriate treatment for your child. Rather than a ‘one size fits all’ solution, we use the latest model of custom-made pectus brace, which has many important benefits:

 

  • Applies pressure on exactly the most prominent part of the breastbone, for maximum effectiveness.
  • Designed to be barely noticeable under normal clothes –particularly appreciated by younger patients in school.
  • Can be customized perfectly to treat even asymmetric defects.
  • Allows us to measure accurately the pressure needed to achieve correction, without being too tight and uncomfortable, or too loose to provide any correction.
  • Shorter treatment time and much lower failure rate than with other brace designs.

 

 

CHEST WALL DEFORMITIES

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