Treatment of Pectus Excavatum / Pectus Carinatum

Pectus excavatum is a congenital alteration of the chest wall, characterized by a funnel-shaped indentation of the chest. We closely examine both pectus excavatum and pectus carinatum, highlighting the treatment options and causes of each.

Behandlung einer Trichterbrust / Kielbrust

What is Pectus Excavatum?

Pectus excavatum, also known as funnel chest, is named after the funnel-shaped indentation of the anterior chest wall. This indentation is due to changes in the cartilaginous connections between the sternum and ribs. Pectus excavatum can appear symmetrically or asymmetrically depending on the individual.

It is important to note that a congenital pectus excavatum can be exacerbated during growth. Psychological effects are particularly noteworthy, although respiratory problems are less common.

Pectus excavatum, also known as funnel chest, is named after the funnel-shaped indentation of the anterior chest wall. This indentation is due to changes in the cartilaginous connections between the sternum and ribs. Pectus excavatum can appear symmetrically or asymmetrically depending on the individual.

It is important to note that a congenital pectus excavatum can be exacerbated during growth. Psychological effects are particularly noteworthy, although respiratory problems are less common.

Causes of Pectus Excavatum

The exact causes of pectus excavatum are still unclear. However, it is often observed that the condition occurs more frequently within families. It is very common for pectus excavatum to be associated with or exacerbated by other spinal deformities. Other conditions like Marfan Syndrome may also be related.

The Difference Between Pectus Carinatum and Pectus Excavatum

In pectus carinatum, known as pigeon chest, the sternum protrudes due to defective development of the rib connections. The rib connections develop improperly, which is particularly noticeable during puberty.

The deformation of the chest wall thus varies between pectus carinatum and pectus excavatum. Pectus carinatum is much less common than pectus excavatum and is mainly observed in boys during puberty.

Consequences of Pectus Carinatum and Pectus Excavatum

Initially, it is important to note that neither pectus carinatum nor pectus excavatum generally causes impairment of respiratory or circulatory function. However, poor posture is widespread as individuals attempt to conceal the deformity. In severe cases, the intense pressure of the sternum can cause pain.

However, the psychological burden is high, as the visual impairment is perceived as very significant. Many individuals feel ashamed of the condition, which is exacerbated during puberty and thus becomes more visible.

Care for Pectus Carinatum at ergonomic care

Pectus Carinatum Orthosis with Tension Joint

Pectus Carinatum Orthosis with Ski Closure

Conclusion on the Care of Pectus Carinatum and Pectus Excavatum

As long as the pectus carinatum brace or the vacuum bell is consistently worn, the treatment success is very high. The aforementioned deformities can be treated during growth without the need for surgical interventions. In most cases, the visual limitations completely disappear if therapy is started early.

Your medical supply store ergonomic care supports you in the treatment of pectus carinatum or pectus excavatum. Get free advice on how we can support you.

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