Pectus Excavatum

What is Pectus Excavatum? 

Pectus Excavatum is often described as ‘sunken chest’ or 'funnel chest', where the breastbone (sternum) is recessed into the chest. It is a chest wall deformity caused by abnormal growth of the cartilage connecting the ribs to the sternum, pulling the chest inward rather than outward. 

This condition can be present from birth, but it often becomes more noticeable during periods of rapid growth, particularly in early adolescence. 

Pectus excavatum is the most common chest wall deformity, with a prevalence of approximately 1 in 300 - 400 births, and research suggests it affects males more frequently than females. The appearance and severity of the condition can progress during puberty, especially during growth spurts. 

 

Signs and Symptoms of Pectus Excavatum 

Pectus excavatum can vary in severity, ranging from mild to more pronounced cases, and may be symmetrical or asymmetrical. Signs and symptoms can include: 

  • Sunken or hollow appearance of the chest  
  • Shortness of breath, particularly during exercise  
  • Reduced stamina or fatigue  
  • Chest pain  
  • Rapid heartbeat (in some cases)  
  • Poor posture  
  • ​Psychological concerns such as low self-esteem or body image issues  

While mild cases may not cause physical health problems, more severe cases can place pressure on the heart and lungs, potentially affecting breathing and exercise tolerance. 

You should seek an appointment with paediatric surgery for assessment to ensure that there are no cardiac or respiratory complications caused by the chest shape. Surgical treatment is currently only available via a national MDT. Your local surgical team can make this referral. 

Pectus Excavatum Treatment Options 

Every patient is different, and treatment will depend on the severity of the condition and the age at the start of treatment. In more severe cases, treatment has traditionally involved surgery, such as the Nuss procedure, which repositions the sternum. While effective, this is an invasive procedure requiring hospitalisation and recovery time. This treatment is available via a national MDT.  

For suitable patients, non-surgical treatment options are available. Orthotic solutions, such as vacuum bell therapy, have been increasingly used to support chest wall remodelling in growing children and adolescents. We aim to gradually improve chest shape over time without the need for surgery.  

We take 3D surface scans to enable us to measure the correction achieved with precision. Our specialist orthotists at Steeper Clinic assess each patient individually and provide guidance on the most appropriate treatment pathway, including access to advanced orthotic solutions. 

Early intervention, particularly during periods of growth, may improve outcomes and reduce the likelihood of requiring surgical treatment later in life. 

We have a range of Pectus Labs Vacuum Bells that are designed to fit a wide range of chest wall shapes, including devices to fit the female anatomy. Your orthotist will be able to select the most appropriate device and will support you throughout your treatment to gain the best possible results.  

Discover the Pectus Excavatum Vacuum Bell

Why choose Steeper Clinic Leeds

To maximise and enhance our patients’ wellbeing, we work with local allied health care professionals, including specialist consultants and orthopaedic surgeons. This enables us to deliver the highest quality of patient-focused care and provide life-changing treatments to empower our patients.  

Our highly skilled clinicians in the UK specialise in paediatric orthotics, carrying out innovative treatments such as STARband helmets for plagiocephaly and craniosynostosis and chest compressor braces for pectus carinatum and pectus excavatum.   

Steeper is the sole distributor of Pectus Labs chest wall braces in the UK, meaning our patients have access to Pectus Labs’ specialist solutions for the non-surgical treatment of chest wall deformities, improving both physical outcomes and patient confidence.  

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