Is pectus excavatum only cosmetic?
Pectus excavatum is an inward depression of the sternum and costal cartilage. Mild cases may mainly affect appearance; more pronounced cases can be associated with reduced exercise tolerance, chest discomfort, palpitations, breathing symptoms or psychological distress.
What is assessed in clinic?
Assessment includes symmetry, depth, progression during growth, symptoms and posture. Imaging, cardiac testing or lung function may be considered. One index alone should not determine surgery.
What age is best for surgery?
There is no single age for every patient. Chest wall flexibility, growth stage, severity, symptoms and psychological impact all matter. Early assessment is useful when the depression worsens or symptoms appear.
What is the Nuss procedure?
A curved bar is placed behind the sternum through a minimally invasive approach to elevate the chest wall. Planning includes pain control, hospital recovery, activity restrictions and later bar removal.
Frequently asked questions
Does mild pectus excavatum need annual CT scans?
Not necessarily. Follow-up depends on growth, appearance and symptoms, while avoiding unnecessary repeated radiation.
Can exercise completely correct pectus excavatum?
Posture and strength training can improve conditioning and appearance, but a marked bony depression usually does not fully disappear with exercise alone.