Funnel chest and Nuss operative technique
Abstract
Pectus excavatum is the most common hereditary congenital chest wall disorder. Occurring in approximately one of every 400−1000 children. Pectus excavatum occurs in 90% of chest wall deformity. Mildly present at birth pectus excavatum usually becomes more serious throughout childhood, often magnifying considerably during the teenage years. An operative treatment to correct deformity may be indicated if there are severe symptoms related to lung or heart function. Cosmetic and psycho-social considerations may also lead to a decision to operate a child with pectus. The Nuss procedure is the most effective method of pectus excavatum repair. The advantage of that method is: there is no need to make an incision in the anterior chest wall, there are no keloid scars, there is no need to resect rib cartilages nor perform sternal osteotomy reduces operating time, minimal blood loss, reduces stay in the hospital, post-operative pain is less intensive, early return to regular activities, there is no need to stay in hospital for rehabilitation.
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