pectus excavatum repair…

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pectus excavatum, pectus excavatum repair, funnel chest repair, chest deformity repair, surgery, pectus excavatum, a deformity, the front, the chest wall, depressed breastbone, sternum, ribs, various surgical approaches, treating this condition, most commonly used approach, child is deep asleep, pain-free, using general anesthesia, an incision is made over the sternum, deformed cartilages, removed, rib lining is left in place, the cartilages to regrow, an incision is made, in the sternum, repositioned, a rib, metal strut, stabilize the sternum in normal position, healing occurs in 3 to 6 months, a temporary chest tube placed to reexpand the lung lining, the lung is entered, metal struts, removed 6 months later, a small skin incision under the arm, done on an outpatient basis, most repairs, done between 18 months, 5 years of age, there has been debate, the best age, the procedure, a newer, less invasive approach involves, placement of a curved steel bar beneath the sternum to elevate the deformed sternum, cartilages, removal of any bone, cartilage, bar is later removed, after two to four years, advantages, disadvantages compared, invasive approaches, long-term results, approach, not yet available, pectus excavatum repair recommended, improved appearance, cosmetic repair, improved posture, improved breathing, improved exercise capacity, risks, anesthesia, reactions to medications, problems breathing, surgery, bleeding, infection, scarring, additional risks, lung collapse, recurrence, the deformity, cosmetic results, generally good, success, the procedure to improve breathing, exercise capacity is variable, many affected children have other connective tissue disorders, need related surgery, hospitalization, 1 week is common, vigorous activity, restricted, 3 months.