Pectus excavatum

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A severe case
A severe case

Pectus excavatum is a medical problem. The sternum (middle of the chest) is pushed into the chest. This makes the chest look sunken in. It is also called a "chest bowl" and a "dent".

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[change] Causes

Doctors do not know why some people have the dent. They think it might be caused by a bad gene from the parent. It is also linked to syndromes (illnesses) that effect other parts of the body.

[change] Numbers

Pectus excavatum happens in about 1 in every 150 children.[1]

[change] Surgery

The dent can be fixed by a doctor. There are 4 different ways of fixing the chest:

[change] Nuss Procedure

The Nuss Prodcedure was created by Doctor Nuss from Norfolk in Virginia. A metal bar is put into the chest; the bar holds the chest up.

[change] Suction Cup

A vacuum bell, also called a suction cup, can be used to fix pectus excavatum. The cup is placed on the chest and all the air is removed, this pulls up the chest.

A vacuum bell
A vacuum bell

[change] Ravitch

The Ravitch technique is from the 1950s. It involves cutting out part of the chest, placing a bar in the chest, and having the bone grow back. Most doctors do not use the Ravitch because it causes much blood loss.

[change] References

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