Share

Sunken chests must be evaluated

THURDSAY, Nov. 17 (HealthDay News) -- Children with sunken chest require prompt evaluation to rule out more serious underlying conditions and to plan corrective surgery if necessary, according to experts.

Sunken or hollow chest, the result of a malformed rib cage, is one of the most common birth defects of the chest wall. It affects one in 300 to 400 children and is rarely life-threatening.

The main reason to perform surgery is to improve heart and lung function, not to improve appearance, Dr. Fizan Abdullah, a pediatric surgeon at Johns Hopkins Children's Center in Baltimore, explained in a Hopkins news release.

He said assessment of children with sunken chest accomplishes three goals -- it rules out serious underlying syndromes, assesses cardio-pulmonary function and begins the planning of surgery.

A small number of children with sunken chest have Marfan syndrome, a genetic disorder of the connective tissues that can cause potentially deadly problems such as arterial aneurysms or rupture of the heart's aorta, Abdullah said.

A sunken chest can compress the heart and lungs and affect breathing and circulation, especially in more severe cases. Serious heart and lung problems are rare, but even children with mild sunken chest can have reduced cardiovascular endurance, tire quickly, have a feeling of pressure on their chest, and experience neck and back pain.

Surgery can remedy these problems and restore the chest to normal appearance. Several different surgical approaches can be used, including minimally invasive alternatives to open-chest surgery, Abdullah said.

The ideal time for surgery is between ages 14 and 16, Abdullah said. Doing the surgery at an earlier age when a child's bones are still growing could result in reemergence of the sunken chest. However, earlier surgery would be performed in severe cases that seriously compromise heart and lung function, Abdullah said.

More information

The MedlinePlus Medical Encyclopedia has more about sunken chest.


(Copyright © 2011 HealthDay. All rights reserved.)

This article has not necessarily been edited by Health24.

We live in a world where facts and fiction get blurred
Who we choose to trust can have a profound impact on our lives. Join thousands of devoted South Africans who look to News24 to bring them news they can trust every day. As we celebrate 25 years, become a News24 subscriber as we strive to keep you informed, inspired and empowered.
Join News24 today
heading
description
username
Show Comments ()
Editorial feedback and complaints

Contact the public editor with feedback for our journalists, complaints, queries or suggestions about articles on News24.

LEARN MORE