October 29, 2020
Pectus excavatum or sunken chest is one of the most common chest wall disorders in children. The opposite condition can also occur - the chest wall sticks out called pectus carinatum or pigeon chest. However, pectus excavatum is more common. While these conditions can be seen in infancy and childhood, chest disorders usually become more obvious as children grow.
These chest wall conditions are not life-threatening. However, some sunken chest walls might cause discomfort such as: difficulty breathing, chest pain, fatigue, scoliosis and difficulty playing sports because of the pressure on the chest. Depending on how sunken the chest wall is and if there are any symptoms, surgery may or may not be needed.
The sunken chest is normally noticed by a parent/caregiver or by a physician during a routine exam. If the patient, family and surgeon decide that surgery is needed, the following tests may be ordered:
“We actually see a lot of cases of pectus excavatum in both our ACH and ACNW clinics,” said Dr. Sid Dassinger, Chief of Pediatric Surgery. “Our team of pediatric surgeons have specialized training in diagnosing and treating all types of chest wall conditions in children and use the latest approaches to surgical intervention.”
For the past 15 years, the pediatric surgeons at Arkansas Children's have corrected pectus excavatum using a minimally invasive technique called the Nuss procedure. The team also uses cryoablation, which temporarily freezes the nerves in the area of the surgery to help block pain. This helps control pain and shortens the hospital stay.
If you are concerned that your child may have a chest wall disorder or you are seeking treatment, please call us to schedule an appointment with the pediatric general surgeons at Arkansas Children’s.