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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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 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 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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What does chicken breast mean?

Pectus carinatum, commonly known as pigeon chest, is a frequent chest wall deformity characterized by a protruding sternum. It can occur similarly to rickets caused by vitamin D deficiency, where an indentation at the junction of the 6th to 8th ribs and the sternum causes the sternum to jut out, forming a pigeon chest. Pigeon chest is generally considered to be linked to genetics and is often caused by excessive growth of the ribs and costal cartilages, leading to deformities in the sternum and subsequently the ribs. Beyond causing psychological distress and affecting personality, pigeon chest can also impact respiratory and circulatory functions. In cases where the condition reaches a particular severity, surgical correction may be necessary. Correction during adolescence is ideal for mild to severe cases of pigeon chest. If parents notice any abnormalities in their child's chest wall, it is advisable to seek medical consultation to determine the need and approach for treatment.

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Written by Luo Peng
Thoracic Surgery
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What department should I go to at the children's hospital for chickenpox?

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.