Can moderate pigeon chest in children be corrected?

Written by Zhang Zhi Gong
Cardiothoracic Surgery
Updated on September 28, 2024
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Can mild pectus carinatum in children be corrected? Pectus carinatum, commonly known as pigeon chest, is the second most common chest deformity encountered, after funnel chest. As the name suggests, pigeon chest refers to a protrusion of the sternum in the center, similar to the chest of a chicken or pigeon, where the sternum protrudes forward. This protrusion, to draw an analogy, is like a tree. This young sapling has already grown crooked. You cannot straighten it by fertilizing or any other means. Correction is only possible through procedures such as orthotic braces or compression, or more directly and effectively through surgical intervention. Surgery is the most straightforward and immediately impactful treatment method.

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

Pectus excavatum and pectus carinatum are both types of deformities of the anterior chest wall, with pectus excavatum being the most common deformity, accounting for 90% of all anterior chest wall deformities; the incidence of pectus carinatum is only one-fifth to one-sixth of that of pectus excavatum. The shapes of pectus excavatum and pectus carinatum are also completely different. Pectus excavatum appears as if a funnel were placed on the chest, with the funnel receding backward and downward. Therefore, patients with pectus excavatum, when lying down, can observe a depression in the front of their chest, which is even capable of holding a cup of water placed within this funnel-like depression. On the other hand, the deformity in pectus carinatum protrudes forward. One caves inward while the other protrudes forward, thus these two shapes are completely opposite.

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Written by Zhang Zhi Gong
Cardiothoracic Surgery
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Can moderate pigeon chest in children be corrected?

Can mild pectus carinatum in children be corrected? Pectus carinatum, commonly known as pigeon chest, is the second most common chest deformity encountered, after funnel chest. As the name suggests, pigeon chest refers to a protrusion of the sternum in the center, similar to the chest of a chicken or pigeon, where the sternum protrudes forward. This protrusion, to draw an analogy, is like a tree. This young sapling has already grown crooked. You cannot straighten it by fertilizing or any other means. Correction is only possible through procedures such as orthotic braces or compression, or more directly and effectively through surgical intervention. Surgery is the most straightforward and immediately impactful treatment method.

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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 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 Luo Peng
Thoracic Surgery
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Treatment methods for pigeon chest in children

When discussing treatment methods for children with pectus carinatum, it's important to consider the severity of the condition. Generally, mild to moderate cases do not require special treatment. For children under 18, most can wear a chest orthosis to correct the condition. Many people achieve good results after wearing it. However, some severe cases of pectus carinatum may compress the heart and lungs, causing cardiopulmonary dysfunction, and surgical treatment should be considered. Current surgical methods for pectus carinatum are minimally invasive, and generally, patients recover well postoperatively. Therefore, the treatment method for pectus carinatum should be determined based on the actual situation.