What department should I go to at the children's hospital for chickenpox?

Written by Luo Peng
Thoracic Surgery
Updated on September 21, 2024
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If children have pectus carinatum and need treatment, it is necessary to check if the children's hospital has a specialized thoracic surgery department. If there is a pediatric thoracic surgery department, one can make an appointment there. Generally, for mild cases of pectus carinatum, children do not need surgery and can undergo conservative treatment, such as having a custom chest orthosis made. Wearing the chest orthosis can correct the condition. If the pectus carinatum is severe, and the child is over four years old, then surgery can be considered in the thoracic surgery department. Therefore, for pectus carinatum, appointments need to be made with the thoracic surgery department at a children's hospital.

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Written by Luo Peng
Thoracic Surgery
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How to correct pigeon chest in children

Treatment should be decided based on the specific condition of the child's pigeon chest. For mild to moderate pigeon chest, especially in children, where there is no compression on the heart and lungs, conservative treatment should generally be considered. The best method for correction is to pay attention to posture and engage in appropriate physical exercise. Additionally, a thoracic orthotic can be used; the effects of wearing a thoracic orthotic for correcting mild to moderate pigeon chest are generally quite positive. For severe pigeon chest, particularly when there is compression affecting the heart and lungs and thus impacting cardiac and pulmonary function, surgical treatment should be considered to correct the severe pigeon chest.

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Written by Zhang Zhi Gong
Cardiothoracic Surgery
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The differences between funnel chest and pigeon chest

Pectus excavatum and pectus carinatum are both types of chest wall deformities. Pectus excavatum is the most common form of chest wall deformity, accounting for over 90% of all anterior chest wall deformities, whereas pectus carinatum occurs much less frequently, roughly one-fifth the incidence of pectus excavatum. The main and most apparent difference is that, as the name suggests, pectus excavatum looks as if a funnel were placed in the chest, with the funnel pointing downwards and backwards. Thus, in patients or children with pectus excavatum, the sternum is indented inward and backward, pressing directly towards the spine. This indentation can compress the heart and lungs, potentially distorting and even displacing the heart to one side. In contrast, pectus carinatum involves the sternum protruding outward, resembling the chest of a chicken or a pigeon. Pectus excavatum is characterized by a backward indentation, while pectus carinatum protrudes forward—this is the most direct distinction.

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Written by Tong Peng
Pediatrics
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How to recover from pigeon chest in children?

Childhood pectus carinatum is a common clinical condition, primarily caused by a deficiency in vitamin D leading to metabolic bone disease. Its characteristics are mainly manifested by the protrusion of the sternum and flattening of the chest walls on both sides. There are several treatment methods available: First, supplement children with calcium tablets and vitamin D, promptly administer these medications, and encourage exposure to sunlight and outdoor activities during the growth process, which is beneficial for bone calcium absorption. Additionally, the child should wear a brace specifically for pectus carinatum. The brace compresses the chest cavity, causing it to protrude upward. After wearing the brace for a period, the protruding chest can show improvement. If previous treatment methods are ineffective and severe sternal deformities still occur, surgical treatment at a specialized hospital may be necessary. In daily life, the child should be cautious about their posture and body position, avoiding rolling, bending, and similar actions as much as possible to facilitate a quicker recovery.

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Written by Li Jiao Yan
Neonatology
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How to correct pigeon chest

Pectus carinatum, commonly known as pigeon chest, is a frequent chest wall deformity characterized by a protrusion of the sternum and ribs. It is generally considered to be related to genetics, with most cases thought to be caused by the excessive growth of the ribs and costal cartilages. The skeletal deformation is secondary to the abnormalities in the ribs. Vitamin D deficiency rickets can also lead to the development of pigeon chest. If there is no significant deformation of the chest wall, and only a mild deformity is present, rehabilitative treatment can be effective. Rehabilitation departments offer standard recovery treatments that can be beneficial. Severe cases of pigeon chest may require surgical correction, ideally during adolescence for moderate to severe conditions. Therefore, if a child has pigeon chest, it is recommended to seek medical advice at a hospital, where doctors can determine the treatment approach based on the specific conditions of the child.

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Written by Luo Peng
Thoracic Surgery
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Causes of pectus carinatum in children

The causes of pigeon chest in children mainly include two aspects, one is congenital and the other is acquired. Among them, congenital pigeon chest and funnel chest both involve hereditary factors. Additionally, if the central attachment point of the diaphragm in a child is underdeveloped, it can also cause pigeon chest, which is also a congenital cause. Moreover, the acquired causes mainly include malnutrition and some specific thoracic diseases. Malnutrition is often related to rickets. Acquired thoracic diseases involve some diseases of the thoracic cavity, for example, pyothorax leading to flat chest, chest wall deformity, as well as some congenital heart diseases, heart enlargement, which then compresses the sternum causing it.