Pectus excavatum: Etiology and evaluation
- Oscar H Mayer, MD
Oscar H Mayer, MD
- Associate Professor of Clinical Pediatrics, Pediatric Pulmonology
- University of Pennsylvania School of Medicine
Pectus excavatum (PE), or "funnel chest," is a deformity of the chest wall characterized by a sternal depression (picture 1). The clinical significance of PE depends on three issues:
●Severity of the chest wall defect
●Psychosocial impact, because the defect alters the patient's appearance
Despite decades of experience with surgical and nonsurgical treatment, and efforts to quantify outcomes in each of these areas, the decision of when and how to treat PE remains controversial. These issues are discussed in a separate topic review. (See "Pectus excavatum: Treatment".)To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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- NATURAL HISTORY
- CLINICAL FEATURES
- Cosmetic concerns
- INDICATIONS FOR SPECIALTY CONSULTATION
- Physical examination
- - CT scan
- Pulmonary function
- Further evaluation for selected patients
- - Exercise Testing
- - Cardiac Function
- SUMMARY AND RECOMMENDATIONS