Thoracic Cage abnormalities and their management
Hello students and friends, today we are going to discuss what are the abnormalities seen in a thoracic cage or rib cage. These abnormalities can develop due to any disease or trauma to the rib cage.
What is thoracic cage abnormality?
Thoracic cage abnormalities include:
PECTUS EXCAVATUM
- Also called “sunken chest” or “funnel chest.”
- It can be mild, if it becomes severe then it can affect the heart and lungs. When it becomes severe, it may lead to breathlessness, chest pain, and irritation.
Treatment
- Surgical repair is done under local anesthesia. Repair is typically done in the teenage years, once the pubertal growth spurt is completed.
- Ravitch procedure and minimally invasive repair (Nuss procedure) are done to correct the deformity.
PECTUS CARINATUM
Anterior protrusion of the chest due to abnormal growth of the cartilages of the rib bones and the sternum. The costal cartilage overgrows forward or outward. There can be asymmetry of the chest (one side more prominent than the other).
- Also known as pigeon chest.
- Boys>Girls
- The heart and lungs don’t get affected. It is not always present at birth rather it can get worsen as the child grows older.
- Associated with disorders including heart disease, scoliosis, kyphosis, Down syndrome, and Marfan syndrome.
Treatment
- Bracing of the chest wall;
- Surgery is usually not needed and it is done under local anesthesia.
- Ravitch procedure is done through a horizontal chest incision (mid-chest). Abnormal costal cartilages are drawn, preserving the lining that covers the outside of the cartilage, allowing the sternum to be driven downward in a more normal position.
Hope you all find this helpful for you, if you have any queries related to this topic or any other topic then you all are free to contact me via contact us or you can also ask your doubts in the comment box. Thank you!
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