Pectus excavatum - Chest clogged - Treatment

No therapeutic strategy can not correct pectus excavatum severe.Have been suggested several exercise programs, but are not backed by scientific evidence for the effect of correcting their anatomy. Interventional correction is indicated in patients who have pectus excavatum and cardiopulmonary disease. The purpose of repair is to correct the chest deformity. It is important for youth, which can cause chest look significant problems with self-image.Therefore the desire to enhance the appearance of the chest is considered a medical indication for surgery.Other indications are unable or its limitation of physical activity, pointing to problems with heart or lung, breast pain, psychological stress and the need for sternotomy.
External rods were also used in nonchirurgicale strategies, but without the correction of deformity. They are most useful in the treatment of pectus carinatum.
Surgical therapy:Until 1990 the pectus excavatum interventional therapy was well standardized and based on open surgery described by Ravitch.Some variations were added to his original description, and surgery has become almost universally accepted in pediatrics for the treatment of this condition.
Ravitch technique:It is an invasive surgery introduced in 1949 and expanded in 1950 to treat the disease. This procedure involves creating a notch over the chest through the sternum and cartilage are excised detached.Insert a small bar under the sternum to raise and maintain the desired position. The bar is left up to the growth cartilage implanted in 6 months. It is then removed through a simple procedure. Ravitch technique is not widely used because it is extremely invasive. It is used in older patients, which was calcified sternum, when deformation is asymmetric or when the procedure more invasive Nuss smell proved unsuccessful.
Nuss technique:In 1987 during the onset of laparoscopy and minimally invasive surgery, a pediatric surgeon in Virginia, Donald Nuss performed the first minimally invasive surgery to correct pectus excavatum.Due to the excellent results obtained with this technique and less radical nature of surgery, the technique's popularity has increased dramatically.
It involves placing second sliding stainless steel bars in the chest beneath the breastbone. The bar is placed in convex position to push the sternum, correcting distortion. The bar remains in this position in the body for about two years, although today many surgeons removes 5 years. When the bones have solidified from the position bar is removed by surgery. The technique does not involve opening the patient's chest.
Technical empty bell:A relatively new technique is invasive surgery alternative bell empty. Device consists of applying a bell-shaped cavity in the sternum. Air is removed from it by a pump. The vacuum created sternum up, reducing the severity of the deformity. How is a new device does not exist yet information on its long-term efficiency.
Using laser and cosmetic treatments:Cosmetic appearance of pectus excavatum deformity in can be treated by filling it with a material called Bio-Alcamid. But it does not improve the deformation itself and will not prevent symptoms caused by physiological condition. mild cases can be treated with effect ortoipedice support corsets or vests and exercise. There are implants for proper prosthesis to fill the depression. Solid silicone implants have been used successfully for many years with acceptable results in many cases. More recently implants in pectus excavatum porex are used. They are also used to replace portions of skull removed in surgery.
The technique of magnetic motion:It is used to correct pectus excavatum by using two magnets to realign with the rest of chest sternum and ribs. A magnet is inserted at 1 cm from the patient on the underside of the sternum, the other is placed in a plaster externally. The two magnets generate a field of 0. 04 tesla modifying the sternum position in several years, slowly. Maximum magnetic field of 4 T is the human body, making this technique safe. One effect is inactivation advesr pacemaker. It is a procedure in another study with unknown long term effects on the human body and the deformation.
Prognosis:The prognosis for pectus excavatum treatment is excellent.Patients who do not have the minimum deflection surgery also shows excellent prognosis. Patients with moderate to severe deformation may experience impaired cardiopulmonary problems, limiting the tolerance to physical effort, decreased physical strength and other conditions related deformation. Mortality is not associated with the condition.