Can funnel chest heal itself?

Written by Zhang Zhi Gong
Cardiothoracic Surgery
Updated on July 02, 2025
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Most parents and doctors hope that funnel chest can heal on its own, but the truth is that most cases of funnel chest cannot heal spontaneously. Imagine if it's a small sapling that has grown crooked from a young age, already deformed, with the sternum indenting inward and backward. As the chest continues to grow, especially during puberty, the funnel chest will become more and more pronounced. Just like a crooked sapling, if it is not corrected, as it grows, the indentation and deformity will become more prominent. Of course, there is an exception. Some children are found to have funnel chest within the first year after birth, which may be due to the pressure on the sternum from the arms and legs during pregnancy while in the mother's womb. We know that children are curled up in the womb, and this positioning of the arms and legs in front of the chest can also cause compression of the chest cavity, leading to an inward deformity of the sternum. However, after birth, as the arms and legs stretch out and the pressure causing the indentation on the chest is relieved, the deformity of the indented sternum may gradually improve. However, most cases occur before the age of one, and the likelihood of this happening decreases significantly after one year of age.

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Written by Zhang Zhi Gong
Cardiothoracic Surgery
1min 42sec home-news-image

Postoperative care for pectus excavatum

Pectus excavatum surgery involves implanting a metal plate in the patient's body; however, this type of metal plate cannot be welded to normal bones or muscles. It is only fixable using stainless steel wires or sutures. Therefore, postoperative care is crucial. Good post-surgical care significantly reduces the chances of the metal plate shifting. We recommend that patients lie flat on their backs for 3 to 5 days after the surgery, avoid bending, twisting their bodies, or rolling over in bed for a week. For a month, it's important for patients to keep their bodies straight and stand flush against a wall. Since the chest will be quite painful after the surgery, standing against a wall helps the patient maintain a proper posture. Otherwise, due to the pain, the patient may stoop forward, resulting in a hunched posture, which is unappealing and not good for the spine. Within two months post-surgery, the patient should avoid bending over to lift heavy objects as this can lead to uneven distribution of force that may cause the metal plate to shift. Intense physical activities should be avoided for three months. The patient should ideally rest in a supine position and avoid external injuries and contact or impact sports like basketball, soccer, or football. Generally, the metal plate should be removed 2 to 3 years after the surgery depending on the circumstances, so regular clinic visits are necessary to monitor the situation of the plate. If the patient experiences difficulty breathing or chest pain after being discharged from the hospital, they should immediately go to the nearest hospital to have their chest x-rayed to check the status of the metal plate.

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Written by Zhang Zhi Gong
Cardiothoracic Surgery
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Pectus excavatum is seen in what lesions?

Pectus excavatum can be divided into two categories: The first type is simple pectus excavatum, and the second type is pectus excavatum combined with other diseases. Simple pectus excavatum is a condition in itself and can exist independently, meaning that children with pectus excavatum may not have other pre-existing diseases. Of course, there is also pectus excavatum combined with other diseases, the most common of which are connective tissue disorders, where the incidence of pectus excavatum is significantly higher among patients. This suggests that pectus excavatum may be closely related to the genes that promote or inhibit cartilage development. Additionally, pectus excavatum may also be related to diseases in patients with congenital diaphragmatic hernia. Some cases of congenital Marfan syndrome may also be related, as well as some children who might have airway stenosis or congenital diseases of the lungs and bronchi. These types of congenital diseases may also be accompanied by pectus excavatum. In summary, whether it is simple pectus excavatum or that combined with other diseases, it can itself form a pathological condition and may also be accompanied by other congenital diseases, leading to secondary pathological changes.

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Written by Zhang Zhi Gong
Cardiothoracic Surgery
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Pectus excavatum should go to which department?

Regarding the registration of patients or children with pectus excavatum, if it is for children and the consultation is only about the hereditary aspect of pectus excavatum or its etiology, consider registering at the pediatrics or child health department. It is also feasible to consult the genetics department. If the consultation is about treatment options for pectus excavatum, including methods of treatment, consider registering at the thoracic surgery department. Thoracic surgery can provide advice and methods for the treatment of pectus excavatum, including both surgical and non-surgical options. Of course, not all hospitals have a thoracic surgery department; generally, municipal third-level, first-class hospitals are equipped with thoracic surgery departments. If there is no thoracic surgery available, consider registering under the general surgery department.

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Written by Zhang Zhi Gong
Cardiothoracic Surgery
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What should be noted for pectus excavatum?

We know that behind the sternum of a normal person are the heart and lungs. Pectus excavatum is a deformity where this part of the sternum is pressed inward towards the spine. Such inward compression, as it occurs right against the bony spine, will directly squeeze the heart and in severe cases, can lead to insufficiency in the heart valve closure. Therefore, the most critical issue with pectus excavatum is the compression of the heart, which also compresses the lungs. Thus, 80% of children with pectus excavatum have lower exercise capacity compared to normal children, 60% may experience chest pain, and 40% have a significantly higher respiratory rate than normal children. Therefore, for patients with pectus excavatum, it is crucial to be cautious about common colds, as their respiratory and cardiac functions can be greatly affected if they catch a cold.

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Written by Zhang Zhi Gong
Cardiothoracic Surgery
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What should be noted in daily life for people with funnel chest?

Since pectus excavatum is an inward and backward depression, such a depression may gradually become apparent even from a young age, especially worsening during adolescence. Therefore, children or patients with this condition should be aware of any significant lack of calcium or vitamin D. Of course, since pectus excavatum may also be somewhat related to familial genetic factors, it is important to check whether the child has any congenital heart diseases, Noonan syndrome, or connective tissue disorders. Since pectus excavatum causes an inward and backward indentation that compresses the heart and lungs, children with this condition may not be able to fully expand their lungs or completely relax their hearts. Consequently, these children tend to have a weaker constitution and may catch colds easily. Therefore, children with pectus excavatum should avoid crowded places, as their weaker constitution makes them more susceptible to colds, which can exacerbate their developmental issues, thus creating a vicious cycle.