41. Daily News Transcript - Local News Coverage What s up Doc? Understanding pectus excavatum By Dr. Jeff Hirsch / News Correspondent Tuesday, February 17, 2004 The article you requested is now archived. http://www3.dailynewstranscript.com/localRegional/view.bg?articleid=26898

42. CHKD: About Us: Services And Programs - Surgical Services - Nuss Procedure The Nuss Procedure for pectus excavatum. Children s Hospital of The King s Daughters has put together a collection of resources that http://www.chkd.org/about_us/nuss_procedure.asp

More Health Information Adolescent Medicine Allergy/Immunology Anesthesiology Arthritis Burns Cardiology Craniofacial Dental Medicine Dermatology Developmental Peds Diabetes Digestive Ear, Nose, Throat Genetics Gastroenterology Growth Hematology High Risk Newborn High Risk Pregnancy Infectious Disease Mental Health Neonatology Nephrology Neurology Normal Newborn Normal Pregnancy Oncology Ophthalmology Orthopedics Otolaryngology Pediatric Intensive Care Pediatric Surgery Pediatrics Physical Medicine Plastic Surgery Respiratory/Pulmonology Rheumatology Safety Surgery Terminal Transplant Urology Site Search The Nuss Procedure for Pectus Excavatum Children's Hospital of The King's Daughters has put together a collection of resources that explains the new Nuss Procedure to correct pectus excavatum, also known as sunken or funnel chest. Please examine the contents below and contact us at (757) 668-8751 and please leave a voice mail message. Contents The Nuss Procedure and Pectus Excavatum: an overview Smooth Surfing Ahead! Tye's Story. Sunken chest, raised hopes: New surgery fixes deformity with less trauma than ever Contact information ... Terms and Conditions

43. CHKD: About Us: Services And Programs - Surgical Services - Nuss Procedure The Nuss Procedure for pectus excavatum. The condition. pectus excavatum is a depression of the sternum and anterior chest. http://www.chkd.org/about_us/pectus_overview.asp

More Health Information Adolescent Medicine Allergy/Immunology Anesthesiology Arthritis Burns Cardiology Craniofacial Dental Medicine Dermatology Developmental Peds Diabetes Digestive Ear, Nose, Throat Genetics Gastroenterology Growth Hematology High Risk Newborn High Risk Pregnancy Infectious Disease Mental Health Neonatology Nephrology Neurology Normal Newborn Normal Pregnancy Oncology Ophthalmology Orthopedics Otolaryngology Pediatric Intensive Care Pediatric Surgery Pediatrics Physical Medicine Plastic Surgery Respiratory/Pulmonology Rheumatology Safety Surgery Terminal Transplant Urology Site Search The Nuss Procedure for Pectus Excavatum The condition Pectus excavatum is a depression of the sternum and anterior chest. The deformity is sometimes referred to as sunken or funnel chest and may appear as though someone has punched in the chest. The severity of the depression ranges from mild to severe. Mild cases may respond to an exercise and posture program, whereas more severe cases require surgical correction. Pectus excavatum tends to run in families and is often present at birth. The deformity usually progresses as the child grows, often showing dramatic deterioration during the pubertal growth spurt.

44. Cleavage Determinants After Breast Augmentation: Advanced Art Of Cosmetic Surger A bra will help by directing the breasts closer and forward. Depressed Breastbone configuration, or pectus excavatum A 40 year http://www.advanced-art.com/Breast-Aug-Cleavage.htm

Advanced Art of Cosmetic Surgery Thomas M. DeWire, Sr., MD, FACS Specializing in Cosmetic Plastic Surgery Richmond, Virginia, USA Body Contouring Cleavage Determinants in Breast Augmentation Cleavage Determination in Breast Augmentation: Cleavage depth and width attainable after implant breast augmentation is not equal for every patient, and is greatly dependent on many factors, most of which are predictable before breast augmentation is performed. These factors are greatly dependent on existing chestwall shape and breastbone prominence, as well as the amount of overall body fat, and the extent of native fatty tissues that overlie the sternum, and soften the contour transition from sternum onto the breasts. Other key factors are the actual starting separation of the breasts, and the position of the nipples, as well as the orientation of the breasts, regarding their degree of divergence from a line drawn straight forward from the breast bone. These anatomical factors vary widely from patient to patient. Several examples are noted below. Be sure to view both pages, as the volume of data is too large to present on a single page. Ideal Cleavage Starting point: Normothoracic Chestwall and Adequate soft tissues

45. Pectus Carinatum, Pectus Excavatum Pectus Carinatum, pectus excavatum Indications that are covered 1. pectus excavatum Must meet all of the following for medically necessary repair http://www.healthpartners.com/Menu/0,1598,5196,00.html

Home Site Map Contact Us Advanced Search ... Pancreas Transplantation Pectus Carinatum, Pectus Excavatum Penile Implants (Penile Prosthesis) Percutaneous Vertebroplasty and Kyphoplasty Peripheral Laser Angioplasty Pervasive Development Disorder ... Pudendal Nerve Perineural Injections Pectus Carinatum, Pectus Excavatum Administrative Process Definition Coverage Indications that are covered ... Products Administrative Process Does not require prior approval. (Prior approval requirement dropped 3/1/04.) Back to top Definition Pectus Carinatum is a deformity of the chest that causes the rib cage to push itself outward. It is sometimes referred to as "pigeon breast." Pectus Excavatum is a deformity of the chest that causes the rib cage to have a sunken, or caved in appearance. It is sometimes referred to as "funnel chest." Back to top Coverage Pectus Carinatum, Pectus Excavatum, and Poland Syndrome will be considered for coverage on a case by case basis, subject to the indications listed below. This criterion may not apply to members with HealthPartners Medicare Products (e.g. Partners for Seniors, HealthPartners 65+, HealthPartners Senior Health Advantage, and HealthPartners Medicare Supplement Plan). For information regarding Medicare coverage criteria contact Member Services at 952-883-7979 or 800-233-9645. Back to top Indications that are covered Pectus Excavatum: Must meet all of the following for medically necessary repair: A Pectus Index greater than 3.25 (calculated by using chest measurements from a CT scan of the area of the chest with the greatest depression.) A Pectus Index is determined by dividing the transverse diameter of the chest by the minimal anteroposterior diameter of the chest.

46. Pectus Excavatum Repair of pectus excavatum may be recommended for improved appearance (cosmetic repair), improved breathing (respiratory function), or to stop compression of http://www.pediatricsurgeons.com/pectus.html

Other names: funnel chest or sunken chest. Indications: Repair of pectus excavatum may be recommended for: improved appearance (cosmetic repair), improved breathing (respiratory function), or to stop compression of the heart. Description of the operation: The repair of pectus excavatum has changed over the past several years. We now use the minimally invasive Nuss procedure. The old procedure required a large incision on the front of the chest and removal of 6-8 sets of cartilage. The much less invasive Nuss procedure is described here: While the child is deep asleep and pain-free (using general anesthesia), 2 small incisions are made over the sides of the chest and a curved titanium bar is passed behind the breastbone (sternum). The deformed sternum is elevated when the curved bar is turned over. The placement of the bar may be aided by the use of a small scope placed into the chest to monitor the bars progress. Once the bar is in place it is sutured under the muscle so it will not move. Rarely a chest tube may be placed to reexpand the lung if the lining of the lung is entered. Expectations after surgery: The child will have some pain after the procedure but this will be controlled with either an epidural catheter or a PCA (patient controlled analgesia) pump. The child is usually in the hospital 3 to 4 days after the surgery. The metal bar is removed 2-3 years later through a small skin incision. This removal is usually done as an outpatient. After the repair the child will be on restricted activity for a time period and will gradually return to full activity.

47. WHAT IS PECTUS EXCAVATUM CARINATUM WHAT IS pectus excavatum CARINATUM. Pectus deformities occur in What causes pectus excavatum / carinatum? The deformity is thought http://www.reinventingtheworld.com/Resources/what_is_pectus_excavatum_carinat.ht

WHAT IS PECTUS EXCAVATUM CARINATUM Pectus deformities occur in 1-8: 1000 population and are more frequent in boys than girls. In pectus excavatum (funnel chest) the sternum (breastbone) is depressed in a concave shape and in pectus carinatum (pigeon chest) the sternum is protruded in a convex shape. There may be asymmetry of the chest and the sternum may be rotated. The deformity varies in severity, ranging from a mild indentation/protrusion to severe, for example a patient with a severe pectus excavatum may have only a few centimetres between his/her sternum and vertebral column. Most patients have a slim chest, a slouching posture and younger children commonly have potbellies. What causes pectus excavatum / carinatum? The deformity is thought to be caused by excessive growth of the costal cartilages although the reason for this is unknown. This overgrowth causes the ribs and cartilages to 'buckle' and pushes the sternum either inwards or outwards. Musculoskeletal abnormalities that are associated with pectus deformities are scoliosis (lateral curvature of the spine), Marfan's syndrome (an inheritable disorder of the connective tissue) and Poland's syndrome. Does the deformity become better/worse with age?

48. Pectus Excavatum Information Diseases Database 2 synonyms or equivalents were found. pectus excavatum aka/or Funnel chest Medical information linkspectus excavatum specific sites. http://www.diseasesdatabase.com/ddb29401.htm

Diseases Database Index Sponsors Contact ... Previous Page Pectus excavatum Information Search 2 synonyms or equivalents were found. Pectus excavatum aka/or Funnel chest may be caused by or feature of (Follow link for list) may cause or feature (Follow link for list) belong(s) to the category of (Follow link for list) Pectus excavatum: Definition(s) via UMLS Code translations and terms via UMLS Pectus excavatum: specific sites Send Pectus excavatum to medical search engines (JavaScript enabled browsers only) If your browser has no JavaScript you can still use these: Search using Internet medical databases Search using Internet search engines (non-specialist) We subscribe to the HONcode principles of the Health On the Net Foundation i-medicine.info - the evidence based medicine, informatics and audit portal Valid XHTML 1.0 Served 2004-06-03 01:56:47 Metadata Updated 2004-05-22

49. ARTICLE: Pectus Excavatum Diagnosis And Treatment pectus excavatum is a chest wall abnormality where the sternum (breast bone) and ribs are depressed inwards (concave) giving the appearance of a sunken chest. http://www.wecare4lungs.com/pe.htm

HOME SITE CONTENTS SEARCH SITE CONTACT US ARTICLES AND RESOURCES Articles of Interest Exercise-Induced Asthma Cystic Fibrosis and Exercise Pectus Excavatum ... Scholarly Productivity - CV DID YOU KNOW? Pectus Excavatum occurs in approximately 1 to 8 out of 1000 people. For reasons that are unknown, it occurs much more frequently in boys than in girls! DID YOU KNOW? Another type of “pectus” deformity is called a Pectus Carinatum is a condition where the breast bone protrudes outward and is often called “pigeon chest” because of the resemblance of the chest wall of a pigeon. This condition usually has little consequence. PECTUS EXCAVATUM Our center offers a unique comprehensive program for the child with Pectus Excavatum deformity. Through an extensive evaluation, we can assist in determining the severity of the Pectus deformity from visual, radiographic, psychologic, and physiologic perspective. Based on the evaluation, appropriate surgical and non surgical treatment options will be addressed. Diagnosis - Surgery - Non Surgical Approaches What is Pectus Excavatum?

50. Pectus Excavatum- Medcohealth.com pectus excavatum. Source ADAM, Inc. Updated December 2003. Considerations. pectus excavatum is a congenital abnormality that can be mild or fairly marked. http://www.medcohealth.com/medco/consumer/ehealth/ehsarticle.jsp?topicID=HE:Symp

51. Pectus Excavatum- Medcohealth.com pectus excavatum. Source ADAM, Inc. pectus excavatum is a condition in which the breast bone (sternum) appears sunken and the chest concave. http://www.medcohealth.com/medco/consumer/ehealth/ehsarticle.jsp?ltSess=y&articl

52. Pectus Excavatum And Carinatum pectus excavatum and Carinatum. What are pectus deformities? Katz ME. A 10year review of a minimally invasive technique for the correction of pectus excavatum. http://pediatric.um-surgery.org/new_070198/new/Library/Pectus Excavatum and Cari

Pectus Excavatum and Carinatum What are pectus deformities? Approximately one in every 600 persons have an abnormal overgrowth of the lower costal cartilages between the ribs and sternum which pushes the sternum inward (excavatum) (85%) or outward (carinatum) (15%). Persons with excavatum also often have a narrow chest. The scar seen on the right is what is used with an open approach to the defect. What problems do pectus deformities cause? In addition to the unattractive appearance, pectus excavatum usually displaces the heart into the left chest and limits full lung expansion. Importantly, pectus deformities, in the vast majority of cases, cause no physical or medical problem. However, an occasional child may experience considerable decrease in stamina and endurance during exercise, with shortness of breath. Occasionally, a child may experience pain or discomfort in the lower chest. Will the pectus deformity improve with time? Pectus deformities usually become more severe during adolescent growth years and remain the same after age 18 years throughout life. Body building exercises will not alter the ribs and cartilage of the chest wall. Pectus deformity repair Conventional Approach: The surgical technique for repair has improved greatly during the past 25 years. The abnormal three to five cartilages on each side of the lower chest are removed while carefully preserving the covering periosteum. The sternum is elevated to the desired position and is supported by a thin metal bar that is attached to a rib on each side. The periosteum will form new cartilage and become solid in the normal position over a several weeks. The hospital stay averages 3 days. Blood transfusions are very rarely necessary. Most patients return to school or work within 2 weeks. Heavy physical activity is limited for 2 to 3 months. The sternal bar is removed on an out-patient basis in 6 months. Thereafter, the patient may participate in vigorous physical activities, including body contact sports. This conventional approach has excellent cosmetic results and a very good long-term follow up shows a sustained repair in most children.

53. Pectus Excavatum Back Home Next. pectus excavatum. pectus excavatum information and stories about the condition also known as sunken chest. Copyright http://www.ability.org.uk/Pectus_Excavatum.html

"see the ability, not the disability" You to can help support the Ability Project by: Our Aims ... Z Pectus Excavatum Pectus Excavatum - information and stories about the condition also known as sunken chest. Webmaster . Site Design by Ability "see the ability, not the disability" Acknowledgments

54. Pectus Excavatum - Medical Dictionary Definitions Of Popular Medical Terms MedicineNet Home MedTerms medical dictionary AZ List pectus excavatum. Advanced Search. pectus excavatum Cavedin or funnel chest. http://www.medterms.com/script/main/art.asp?articlekey=4811

55. Funnel Chest (pectus Excavatum) - Medical Dictionary Definitions Of Popular Medi MedicineNet Home MedTerms medical dictionary AZ List Funnel chest (pectus excavatum). Advanced Search. Funnel chest (pectus excavatum) Cavedin chest. http://www.medterms.com/script/main/art.asp?articlekey=3530

56. Pectus Excavatum pectus excavatum. pectus excavatum (PE) is a deformity of the sternum and costocartilages that results in a dorsal to ventral narrowing of the thorax. http://maxshouse.com/pectus_excavatum.htm

Max's House Pectus Excavatum Theresa W. Fossum, DVM, MS, PhD, Diplomate, American College of Veterinary Surgeons Professor and Chief of Surgery, Department of Small Animal Medicine and Surgery, Pectus excavatum (PE) is a deformity of the sternum and costocartilages that results in a dorsal to ventral narrowing of the thorax. Pectus carinatum is a protrusion of the sternum that occurs much less frequently than PE. Synonyms for PE include funnel chest, chondrosternal depression, chonechondrosternon, koilosternia and trichterbust. The cause or causes of PE in animals are unknown. Theories proposed include shortening of the central tendon of the diaphragm, intrauterine pressure abnormalities, and congenital deficiency of the musculature in the cranial portion of the diaphragm. Abnormal respiratory gradients appear to play a role in the development of this disease in some animals, as brachycephalic dogs are most commonly affected, many of which have concurrent hypoplastic tracheas. PE may be associated with "swimmer's syndrome," which is a poorly characterized disease of neonatal dogs in which the limbs tend to splay laterally, impairing ambulation. Abnormalities of the joints of the limbs and the long bones may also occur. Although the etiology of PE is uncertain. multiple animals in some litters have been affected; thus breeding should not be undertaken and affected animals should be neutered.

57. Pectus Excavatum Repair Department of Surgery. Home Medical Reference Surgeries and Procedures. pectus excavatum Repair. Normal Anatomy pectus excavatum Repair. http://www.umm.edu/surgeries/pectusexcavatumrepair_1.html

Maryland Medical Center Programs Department of Surgery Home Medical Reference Surgeries and Procedures Pectus Excavatum Repair Normal Anatomy - Pectus Excavatum Repair A normal chest is defined by the rib cage and sternum, which protect the chest cavity and the upper-abdominal cavity. The information provided herein should not be used for diagnosis or treatment of any medical condition. It is provided for your general information and is not a substitute for medical care or supervised medical treatment. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. adam.com is a founding member of Hi-Ethics http://www.hiethics.com . adam.com also subscribes to the HONcode principles of the Health On the Net Foundation http://www.hon.ch and is a member of the American Accreditation HealthCare Commission (URAC) Health Web Site Advisory Committee http://www.urac.org

58. Pectus Excavatum - UMMC pectus excavatum is a condition in which the breast bone (sternum) appears sunken and the chest concave. However, some syndromes include pectus excavatum. http://www.umm.edu/imagepages/2927.htm

Home Medical Reference Encyclopedia (English) Toggle English Spanish Pectus excavatum is a condition in which the "breast bone" (sternum) appears sunken and the chest concave. It is sometimes called "funnel chest". The majority of these cases are not associated with any other condition (isolated findings). However, some syndromes include pectus excavatum. Acquired Date: 1/1/1997 12:00:00 AM Acquired From: Mosby Publishing Company Home Health Info Our Physicians Our Services ... Contact Us UNIVERSITY OF MARYLAND MEDICINE © 2001 UNIVERSITY OF MARYLAND MEDICAL SYSTEM This site developed and maintained by Public Affairs. Privacy Statement Diversity Statement The information on this web site is provided as a public service by the university of Maryland Medical System, a regional health care delivery system that includes an academic medical center (the University of Maryland Medical Center in downtown Baltimore) as well as five community and specialty hospitals and outpatient sites throughout Baltimore and central Maryland. This information is not intended to be a substitute for individual medical advice in diagnosing or treating a health problem. Please consult with your health care provider about your health care concerns. If you would like to make an appointment with a University of Maryland physician, please call 1-800-492-5538

59. Nemours.org - Pectus Excavatum - Case Study Nemours Case Studies Ryan pectus excavatum. On the Internet, Ryan found out more about the new Nuss Procedure to correct pectus excavatum. http://www.nemours.org/no/cases/pectus.html

Find a Doctor About Us Employment Alfred I. duPont Hospital ... Contact Us Nemours Case Studies Ryan: Pectus Excavatum After reading an article in the local paper about a new surgical procedure, Ryan began researching it on the Internet. The topic isn't exactly what you'd expect a 14-year-old boy to be interested in, but Ryan had quit playing baseball, was short of breath and tiring easily. Maybe his symptoms were caused by the condition this surgery was intended to correct. Ryan was born with pectus excavatum, or "sunken chest," a congenital defect that can cause shortness of breath and possibly more serious heart and lung problems. Last fall, Ryan had an EKG and X-rays taken. They showed Ryan's heart was displaced. "All we could think of was permanent damage," Ryan's mother, Laurie, recalls. "We thought Ryan wouldn't be able to play baseball or run or any of those things." Up until that point, neither Laurie nor Ryan had considered surgery to correct the problem. Traditional surgery takes four to six hours and involves cutting the cartilage joining the ribs to the sternum and reshaping the breastbone. Patients can lose some blood, and recovery can be long and painful.

60. Pectus Excavatum - La Solución En Todoexpertos.com Translate this page pectus excavatum (Discapacidades). Experto colina, Valoración 2 sobre 5. pectus excavatum. Hola, tengo pectus excavatum, que es http://www.todoexpertos.com/herramientas/leermsgpublico.aspx?idproceso=636287

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