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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pectus Excavatum

Hi I am a 33year old female who was diagnosed with pectus excavatum at the same time my sister was (3 yrs ago) my sister has had the implant operation to help relieve her and she says she feels no benefit, will mine get worse as we noticed through photos that my sisters chest sunk quite rapidly as she got older? Do people With this have problems in later life?
Mon, 23 Feb 2015
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Internal Medicine Specialist 's  Response
Hi,

Thank you for your query. I can understand your concerns.
Treatment for pectus excavatum can involve either invasive or non-invasive techniques or a combination of both.
Vacuum bell:
A relatively new alternative to surgery is the vacuum bell. It consists of a bowl shaped device which fits over the caved-in area; the air is then removed by the use of a hand pump.[19] The vacuum created by this lifts the sternum upwards, lessening the severity of the deformity.[20] Once the defect visually disappears, two additional years of use of the vacuum bell is required to make what may be a permanent correction
Orthopedics:
Mild cases have also reportedly been treated with corset-like orthopedic support vests and exercise.

Surgery:
Surgical correction has been shown to repair any functional symptoms that may occur in the condition, such as respiratory problems or heart murmurs, provided that permanent damage has not already arisen from an extremely severe case. One of the most popular technique for repair of pectus excavatum today is the minimally invasive operation, also known as MIRPE or Nuss technique .
There may be impairment of function of the cardiovascular system in individuals with pectus excavatum in later life..


Regards

Dr. T.K. Biswas M.D.
Mumbai
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Suggest Treatment For Pectus Excavatum

Hi, Thank you for your query. I can understand your concerns. Treatment for pectus excavatum can involve either invasive or non-invasive techniques or a combination of both. Vacuum bell: A relatively new alternative to surgery is the vacuum bell. It consists of a bowl shaped device which fits over the caved-in area; the air is then removed by the use of a hand pump.[19] The vacuum created by this lifts the sternum upwards, lessening the severity of the deformity.[20] Once the defect visually disappears, two additional years of use of the vacuum bell is required to make what may be a permanent correction Orthopedics: Mild cases have also reportedly been treated with corset-like orthopedic support vests and exercise. Surgery: Surgical correction has been shown to repair any functional symptoms that may occur in the condition, such as respiratory problems or heart murmurs, provided that permanent damage has not already arisen from an extremely severe case. One of the most popular technique for repair of pectus excavatum today is the minimally invasive operation, also known as MIRPE or Nuss technique . There may be impairment of function of the cardiovascular system in individuals with pectus excavatum in later life.. Regards Dr. T.K. Biswas M.D. Mumbai