Chest Wall Deformities

Christine Goh discusses the two most common Congenital chest wall deformities. These are characterized by abnormal development and appearance of the chest wall. These can be categorized as rib cage overgrowth or deformities related to inadequate growth, accounting for over 90% of congenital chest wall deformities. In general, most patients are asymptomatic, but cardiopulmonary problems may accompany the disease. The indication for treatment is primarily cosmetic. Treating patients before they reach adulthood increases the chance of success. Surgical treatment can be open or minimally invasive. We will touch on sternal abnormalities briefly.

Topics

Intro
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Prevalent & types of congenital chest wall abnormalities
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Describing funnel chest (Pectus Excavatum)
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underlying causes and development process of pectus excavatum
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Is pectus excavatum a common occurrence among children?
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How would a child typically present with pectus excavatum?
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Who should be referred for further evaluation?
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Possible treatments for severe cases
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Pigeon chest (pectus carinatum) - mechanisms behind its development
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How prevalent is Pigeon chest?
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typical signs and symptoms of Pigeon chest?
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Referral criteria for Pigeon chest
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Take-home messages
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Take home messages

Pectus Excavatum is more common than Pectus Carinatum
Spontaneous regression is rare
Symptoms varies and non-specific
Non-surgical treatment usually has limited improvement
Surgery – high success rate with low recurrence

Resources

Management of Congenital Chest Wall Deformities Plast Surg 2011
Overview of chest wall deformities Turkish Journal of Thoracic & Cardiovascular Surgery

Presenter

Christine Goh

Consultant Cardiothoracic and Transplant Surgeon

Christine is a consultant cardiothoracic and transplant surgeon who has been trained in both Australia and New Zealand.

After training, she spent two years of fellowship in heart/lung transplantation and minimally invasive cardiac and thoracic surgery in Sydney.

Christine works at Auckland Hospital and Mercy Hospital. She provides comprehensive cardiac and thoracic surgical management and tailors the treatment to individual patients.