Difference between funnel chest and pigeon chest

Written by Zhang Zhi Gong
Cardiothoracic Surgery
Updated on September 01, 2024
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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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Will chicken breast caused by calcium deficiency improve after calcium supplementation?

Children lacking Vitamin D can manifest various symptoms of rickets due to calcium deficiency, including pigeon chest, beading of the ribs, X-shaped legs, O-shaped legs, and square skull. As long as these are identified early, by supplementing with Vitamin D and calcium and ensuring comprehensive nutrition, children can return to normal growth and development. With age and appropriate physical exercise, these skeletal abnormalities can gradually improve and generally do not leave lasting effects.

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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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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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The difference between rickets and pigeon chest.

The difference between rickets and pigeon chest: Pigeon chest is a symptom of rickets; rickets is mainly caused by a lack of vitamin D and calcium, leading to disorders in calcium and phosphorus metabolism. During the acute phase of rickets, when skeletal changes occur, this condition can easily cause deformities in the patient's chest. The pigeon chest deformity is one of the symptoms of rickets. That is to say, pigeon chest is a symptom of rickets, not a disease itself.

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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.