Texas Children’s Hospital Division of Pediatric Surgery has a specialized team that assesses and treats an assortment of chest wall abnormalities in our Pectus Program.
There are two main types of chest wall abnormalities:
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Highly specialized and trained surgeons perform a minimally invasive operation called the Nuss procedure to correct pectus excavatum. During this procedure, a custom-shaped metal bar is inserted in the chest, resulting in immediate repair of the pectus excavatum defect. After recovery from this minimally-invasive surgery, all activities can be resumed. After three years, the bar is removed in an outpatient setting.
Correction of pectus carinatum is performed both surgically and nonsurgically, although nonsurgical correction is considered first. Nonsurgical correction is achieved using a special type of brace that is custom fitted to each patient in the Pediatric Surgery clinic. The length of time a patient will need to wear the brace depends on the severity of the carinatum and the patient’s adherence to wearing the brace. Some patients may not be candidates for bracing, but instead may require an operation called the Ravitch procedure to correct the condition. During this procedure, a lower chest incision is made and the protruding cartilages are removed. The sternum is divided and brought into a more normal position. The cartilages grow back over time, but grow in a more normal position.
All Texas Children’s Pectus Program patients receive individualized and family-centered care. Our team is dedicated to providing cutting-edge treatment to achieve the best outcomes for every patient.