61. Pectus Excavatum Repair pectus excavatum Repair. Normal Anatomy pectus excavatum Repair. Anormal chest is defined by the rib cage and sternum, which protect http://www.besthealth.com/surgery/PectusExcavatumRepair_1.html

Pectus Excavatum Repair Normal Anatomy - Pectus Excavatum Repair A normal chest is defined by the rib cage and sternum, which protect the chest cavity and the upper-abdominal cavity. The information provided herein should not be used for diagnosis or treatment of any medical condition. It is provided for your general information and is not a substitute for medical care or supervised medical treatment. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. adam.com is a founding member of Hi-Ethics http://www.hiethics.com . adam.com also subscribes to the HONcode principles of the Health On the Net Foundation http://www.hon.ch and is a member of the American Accreditation HealthCare Commission (URAC) Health Web Site Advisory Committee http://www.urac.org © 2001 adam.com

62. Pectus Excavatum Repair pectus excavatum Repair. Indications pectus excavatum Repair. Pectusexcavatum occurs when the cartilage connecting the ribs to http://www.besthealth.com/surgery/PectusExcavatumRepair_2.html

Pectus Excavatum Repair Indications - Pectus Excavatum Repair Pectus excavatum occurs when the cartilage connecting the ribs to the sternum develops abnormally. Children with pectus excavatum have a depression deformity in the chest wall, where the ribs meet the sternum. This can sometimes result in problematic breathing. Pectus excavatum repair is recommended for: improved appearance (cosmetic repair) improved breathing (respiratory function) The information provided herein should not be used for diagnosis or treatment of any medical condition. It is provided for your general information and is not a substitute for medical care or supervised medical treatment. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. adam.com is a founding member of Hi-Ethics http://www.hiethics.com . adam.com also subscribes to the HONcode principles of the Health On the Net Foundation http://www.hon.ch and is a member of the American Accreditation HealthCare Commission (URAC) Health Web Site Advisory Committee http://www.urac.org

63. Aetna: Pectus Excavatum And Poland's Syndrome: Surgical Correction Number 0272 Subject pectus excavatum and Poland's Syndrome SurgicalCorrection. pectus excavatum Nuss D, Kelly RE Jr, Croitoru DP, et al. http://www.aetna.com/cpb/data/CPBA0272.html

Home Coverage Policy Bulletins Medical Coverage Policy Bulletins Number: 0272 Subject: Pectus Excavatum and Poland's Syndrome: Surgical Correction Important Note http://cms.hhs.gov/manuals/pub06pdf/pub06pdf.asp Policy Aetna covers surgical repair of severe pectus excavatum deformities when done for medical reasons in patients who meet ALL of the following criteria: Well documented evidence of complications arising from the sternal deformity. Complications include but may not be limited to: Cardiopulmonary impairment documented by respiratory and/or cardiac function tests Frequent lower respiratory tract infections Asthma Exercise limitation Atypical chest pain; and An EKG or echocardiogram has been done if a heart murmur or known heart disease is present to define the relationship of the cardiac problem to the sternal deformity; and A CT scan of the chest demonstrates a pectus index, derived from dividing the transverse diameter of the chest by the anterior-posterior diameter, greater than 3.25. Aetna covers surgical reconstruction of the deformities associated with Poland’s syndrome (also see CPB #185 “Breast Reconstructive Surgery”).

64. Dr. Jillian Roberts > Nuss Pectus Excavatum Preliminary Findings PRELIMINARY FINDINGS. Children Who Have Undergone the Nuss PectusExcavatum Procedure. Purpose of Study. What is pectus excavatum? http://www.educ.uvic.ca/faculty/jjrobert/research/npe.htm

Home Research Nuss Pectus Excavatum Congenital Heart Disease ... Contact PRELIMINARY FINDINGS Children Who Have Undergone the Nuss Pectus Excavatum Procedure Purpose of Study To better understand the quality of life experiences of children who have undergone the Nuss Pectus Excavatum Procedure. To develop a more comprehensive foundation of knowledge allowing medical and school professionals to better care for these children. Specific Project Aims To better understand what life is like for these children after the surgical procedure. To identify changes in quality of life from the perspective of the children. To identify changes in quality of life from the perspective of the parents. What is Pectus Excavatum? Nuss Pectus Excavatum Procedure new window to view detailed photos of the Nuss procedure. Pop up a new window to view photos of other procedures.

65. Laparoscopic Pectus Excavatum Repair Procedures include appendectomy, cholecystectomy, splenectomy, pectus excavatumrepair, treatment of pneumothorax, empyema, lower abdominal pain, chest http://www.masc.cc/pectus.htm

Site Map About Us Training and Education Board of Directors MASC Locations Newsletter News Events Corporate Partners Links Contact Us General Surgery FAQ Conditions Treated Gastroesophageal Reflux Disease Gallbladder Disease Hernia Obesity Other Conditions Procedures Obesity Surgery Cholecystectomy Inguinal Hernia Repair Ventral Hernia Repair Nissen Fundoplication Bariatric Surgery Splenectomy Adrenalectomy Donor Nephrectomy Diagnostic Laparoscopy Gynecological Surgery FAQ Conditions Treated Endometriosis Fibroids Pelvic Pain Infertility Pelvic Adhesions Abnormal Bleeding Postmenopausal Bleeding Endometrial Polyps Congenital Uterine Deformities Blocked Fallopian Tubes Procedures General Laparoscopy Laparoscopic Myomectomy Hysteroscopy Ablation Colposcopy Colorectal Surgery FAQ Conditions Treated Inflammatory Bowel Disease Crohn's Disease Ulcerative Colitis Diverticulosis and Diverticulitis Irritable Bowel Syndrome Fecal Incontinence Hemorrhoids Fissures Fistulas Colorectal Cancers Thoracic Surgery FAQ Conditions Treated Hyperhidrosis Interstitial Lung Disease Lung Cancer Pulmonary Nodules Spontaneous Pneumothorax Procedures Thoracoscopic Lobectomy Esophagectomy Thoracoscopic Sympathectomy Nissen Fundoplication Myotomy for Achalasia/option> Thymectomy for Myasthenia Gravis Interstitial Lung Disease Lung Cancer Pulmonary Nodules Spontaneous Pneumothorax Thoracic Outlet Syndrome Urological Surgery FAQ Procedures Kidney Transplant Tumor Removal Pediatric Surgery FAQ Procedures Intracranial Endoscopic Neurosurgery Cholecystectomy Diagnostic Laparoscopy Splenectomy Pectus Excavatum Repair

66. WHAT IS PECTUS EXCAVATUM CARINATUM WHAT IS pectus excavatum CARINATUM. Pectus deformities occur in Whatcauses pectus excavatum / carinatum? The deformity is thought http://www.reinventingtheworld.com/Resources/what_is_pectus_excavatum_carinat.ht

WHAT IS PECTUS EXCAVATUM CARINATUM Pectus deformities occur in 1-8: 1000 population and are more frequent in boys than girls. In pectus excavatum (funnel chest) the sternum (breastbone) is depressed in a concave shape and in pectus carinatum (pigeon chest) the sternum is protruded in a convex shape. There may be asymmetry of the chest and the sternum may be rotated. The deformity varies in severity, ranging from a mild indentation/protrusion to severe, for example a patient with a severe pectus excavatum may have only a few centimetres between his/her sternum and vertebral column. Most patients have a slim chest, a slouching posture and younger children commonly have potbellies. What causes pectus excavatum / carinatum? The deformity is thought to be caused by excessive growth of the costal cartilages although the reason for this is unknown. This overgrowth causes the ribs and cartilages to 'buckle' and pushes the sternum either inwards or outwards. Musculoskeletal abnormalities that are associated with pectus deformities are scoliosis (lateral curvature of the spine), Marfan's syndrome (an inheritable disorder of the connective tissue) and Poland's syndrome. Does the deformity become better/worse with age?

67. Vesalius Image Archive: Nuss Procedure For Pectus Excavatum / Link to Frame. Image Name.......clinical folios thumbnails. Nuss Procedure for pectus excavatum Images. The ElectronicFrontier Foundation. Thumbnail. http://www.vesalius.com/graphics/archive/archtn.asp?VID=611&nrVID=610

68. Pectus Excavatum In The U.K. United Kingdom Citizen's pectus excavatum Forum. jump to Open Forum, http://pub157.ezboard.com/fpeinformationsitefrm11

"); else document.write(""); // > United Kingdom Citizen's Pectus Excavatum Forum PE Info Site Forum > Pectus Excavatum in the U.K. Invite Friends! Login Register Your Free Account Search Help ... Need help logging in? Topic Replies Last Comment Started By That is what it is! 2/20/03 9:45:00 am by: why me PE Ranger Implants done privately in UK? -spec please read 2/3/03 12:00:15 pm by: Nickay1001 test 1/30/03 7:09:07 pm by: TonyPC1 Pre-registration procedures NHS 1/16/03 6:02:57 am suzel More Brits needed here 12/4/02 8:54:44 am by: PE Ranger howard edwards www.pectusexcavatum.co.uk is back 9/1/02 11:06:55 am by: Franck Vinny Advice needed please 5/28/02 9:34:28 am by: leg7end A few questions 5/27/02 10:02:03 am by: spec Andrew Advice 5/14/02 9:41:50 am by: lukegyulai worriedboy update 4/15/02 1:51:05 am jon Can Some one inform me 4/4/02 6:16:38 pm by: Trainer Joe Justin UK-ers - Please use this forum 2/17/02 3:57:01 pm by: ORTHOPECTUS Clinic howardedwards Hello from the USA 10/21/01 9:32:46 pm Trainer Joe Now Open for posting 8/15/01 11:05:14 am PectusBoy icon legend: Closed Topics New messages jump to: Open Forum Post-Surgery Pectus Carinatum Treatment Procedures (surgical) Pectus Excavatum in the U.K.

69. Welcome To ENH.org - Pectus Excavatum Repair Normal anatomy. pectus excavatum is a deformity of the front of the chest wallwith depression of the breastbone (sternum) and rib (costal) cartilages. http://www.enh.org/surgery/100035.asp

Pectus excavatum repair Normal anatomy Pectus excavatum is a deformity of the front of the chest wall with depression of the breastbone (sternum) and rib (costal) cartilages Review Date: 06/25/01 Reviewed By: A.D.A.M. Medical Illustration Team 2650 Ridge Avenue Evanston, IL 60201 Site Map Email Us! Indications Repair of pectus excavatum may be recommended for: improved appearance (cosmetic repair) improved breathing (respiratory function) Review Date: 06/25/01 Reviewed By: A.D.A.M. Medical Illustration Team 2650 Ridge Avenue Evanston, IL 60201 Site Map Email Us! Procedure While the child is deep asleep and pain-free (using general anesthesia), an incision is made over the breastbone (sternum). The deformed cartilage are removed and the rib lining is left in place to allow re-growth of the cartilage. An incision is made in the sternum and it is repositioned. A rib or metal strut may be used to stabilize the sternum in normal position until healing occurs in 3 to 6 months. A chest tube may be placed to re-expand the lung if the lining of the lung is entered. Metal struts are removed 6 months later through a small skin incision under the arm. This procedure is usually done as an outpatient.

70. Welcome To ENH.org - Health Encyclopedia: Pectus Excavatum pectus excavatum. Alternative Names Funnel chest. Considerations pectus excavatumis a congenital abnormality that can be mild or fairly marked. http://www.enh.org/Encyclopedia/ency/article/003320.asp

Disease Reference Injury Reference Test Reference Nutrition Reference ... Symptoms Reference Pectus excavatum Disease Injury Nutrition Poison ... Y Definition: The descriptive term for an abnormal formation of the rib cage where the distance from the breastbone (sternum) to the backbone (vertebrae) is decreased, resulting in a caved-in or sunken chest appearance. Alternative Names: Funnel chest Considerations: Pectus excavatum is a congenital abnormality that can be mild or fairly marked. The child typically has a depression in the center of the chest over the sternum, and this may appear quite deep. It is caused by excessive growth of the costosternal cartilage (the connective tissue joining the ribs to the breastbone), with resulting inward deformity of the sternum. If pectus excavatum is severe, it may affect the underlying organs (heart and lungs) leading to exercise intolerance or other problems. In addition, the cosmetic appearance of a pectus excavatum may pose a psychological difficulty. Pectus excavatum may occur as the only abnormality, or in association with other syndromes.

71. Pectus Excavatum Back Home Next. pectus excavatum pectus excavatum information andstories about the condition also known as sunken chest. Copyright http://www.ability.org.uk/Pectus_Excavatum.html

"see the ability, not the disability" You to can help support the Ability Project by: Our Aims ... Z Pectus Excavatum Pectus Excavatum - information and stories about the condition also known as sunken chest. Webmaster . Site Design by Ability "see the ability, not the disability" Acknowledgments

72. Pectus Excavatum And Carinatum pectus excavatum and Carinatum. What are pectus deformities? Katz ME. A 10year reviewof a minimally invasive technique for the correction of pectus excavatum. http://www.um-pediatric-surgery.org/new_070198/new/Library/Pectus Excavatum and

Pectus Excavatum and Carinatum What are pectus deformities? Approximately one in every 600 persons have an abnormal overgrowth of the lower costal cartilages between the ribs and sternum which pushes the sternum inward (excavatum) (85%) or outward (carinatum) (15%). Persons with excavatum also often have a narrow chest. The scar seen on the right is what is used with an open approach to the defect. What problems do pectus deformities cause? In addition to the unattractive appearance, pectus excavatum usually displaces the heart into the left chest and limits full lung expansion. Importantly, pectus deformities, in the vast majority of cases, cause no physical or medical problem. However, an occasional child may experience considerable decrease in stamina and endurance during exercise, with shortness of breath. Occasionally, a child may experience pain or discomfort in the lower chest. Will the pectus deformity improve with time? Pectus deformities usually become more severe during adolescent growth years and remain the same after age 18 years throughout life. Body building exercises will not alter the ribs and cartilage of the chest wall. Pectus deformity repair Conventional Approach: The surgical technique for repair has improved greatly during the past 25 years. The abnormal three to five cartilages on each side of the lower chest are removed while carefully preserving the covering periosteum. The sternum is elevated to the desired position and is supported by a thin metal bar that is attached to a rib on each side. The periosteum will form new cartilage and become solid in the normal position over a several weeks. The hospital stay averages 3 days. Blood transfusions are very rarely necessary. Most patients return to school or work within 2 weeks. Heavy physical activity is limited for 2 to 3 months. The sternal bar is removed on an out-patient basis in 6 months. Thereafter, the patient may participate in vigorous physical activities, including body contact sports. This conventional approach has excellent cosmetic results and a very good long-term follow up shows a sustained repair in most children.

73. Cleavage Determinants After Breast Augmentation: Advanced Art Of Cosmetic Surger A bra will help by directing the breasts closer and forward. DepressedBreastbone configuration, or pectus excavatum A 40 year http://www.advanced-art.com/Breast-Aug-Cleavage.htm

Advanced Art of Cosmetic Surgery Thomas M. DeWire, Sr., MD, FACS Specializing in Cosmetic Plastic Surgery Body Contouring Cleavage Determinants in Breast Augmentation Cleavage Determination in Breast Augmentation: Cleavage depth and width attainable after implant breast augmentation is not equal for every patient, and is greatly dependent on many factors, most of which are predictable before breast augmentation is performed. These factors are greatly dependent on existing chestwall shape and breastbone prominence, as well as the amount of overall body fat, and the extent of native fatty tissues that overlie the sternum, and soften the contour transition from sternum onto the breasts. Other key factors are the actual starting separation of the breasts, and the position of the nipples, as well as the orientation of the breasts, regarding their degree of divergence from a line drawn straight forward from the breast bone. These anatomical factors vary widely from patient to patient. Several examples are noted below. Be sure to view both pages, as the volume of data is too large to present on a single page. Ideal Cleavage Starting point: Normothoracic Chestwall and Adequate soft tissues A 33 year old woman with a relatively flat chest wall with forward direction of nipples and neutral position of breastbone relative to the slope of the chestwall. A chestwall with this shape is

74. Flow Murmer And Pectus Excavatum Subject Flow murmer and pectus excavatum Topic Area Heart Murmur Forum The HeartForum Question Posted By Noon on Saturday, December 07, 2002 I am a 32yr http://www.medhelp.org/forums/cardio/messages/33764a.html

Advertisement Heart Forum Sponsor Developed with The American Heart Association, Med Help and Nexcura encourage you to log on to the FREE Heart Profiler and take advantage of this helpful tool. Med Help International A not-for-profit organization Questions in The Heart Forum are being answered by doctors from The Cleveland Clinic Heart Center , consistently ranked the #1 Heart Center in America. Subject: Flow murmer and pectus excavatum Topic Area: Heart Murmur Forum: The Heart Forum Question Posted By: Noon on Saturday, December 07, 2002 I am a 32yr old female and was recently told by my GP that I have a loud cardiac murmer. After chest XRays it was discovered I have pectus excavatum and after an echocardiogram I was told that there is nothing wrong with my heart or any valves and that is a flow murmer. My GP suspects that the murmer is caused by the pectus excavatum. She has said that physically there is nothing wrong with me. My husband and I would like to have children - she has said that there is no risk involved in my having children as there is nothing wrong with my heart. I am worried about this - should I try and see a cardiologist or at least get a second opinion? Answer Posted By: CCF-M.D.-RCJ on Sunday, December 08, 2002

75. Pectus Excavatum Translate this page pectus excavatum, Clínica, radiología, diagnóstico, técnica quirurgica, comentarios.Póster . Hospital Dr. Domingo Luciani. Venezuela. pectus excavatum. http://mywebpage.netscape.com/rdhenriquez/Pectus-Excavatum.htm

htmlAdWH('93097763', '234', '60'); Pectus Excavatum Hospital Dr. " Domingo Luciani " Dr. Luis Pierluissi Paciente Comentarios El Paciente Los arcos cartilaginosos costales fueron resecados. Un drenaje aspirativo para evitar colecciones hematicas bajo el plano pectoral se extrae por contrabertura El drenaje aspirativo por contrabertura. Si las pleuras son abiertas accidentalmente se colocan tubos pleurales toracicos que pueden ser extraidos medialmente cerca del dren aspirativo. Comentarios El Pectus Excavatum Congenital Deformities of the chest wall and their operative correction " cuyo autor es el Dr. Mark M. Ravitch. Paciente Comentarios Terapia Intensiva Pediatrica Dr. Atilio Galindo Dra. Maria Lucia Garcia Dr. Manuel Escobar Dra. Maria Eugenia Socorro Dra. Gloria Gomez Dra. Rosa Morenza Dr. Rafael Piereti Jefe del Servicio Casos Interesantes Conexiones Informaciones

76. Reconstruccion Osea En Pectus Excavatum Translate this page pectus excavatum, radiología,tomografia, reconstruccion osea, diagnóstico, técnicaquirurgica, y comentarios. Reconstruccion osea en pectus excavatum. http://mywebpage.netscape.com/rdhenriquez/PectusExcavatumrec.html

htmlAdWH('93097763', '234', '60'); Reconstruccion osea en Pectus Excavatum Hospital Dr. " Domingo Luciani " Paciente Comentarios El Paciente Corte tomografico a nivel del tercio superior del torax, supracarinal. No fue necesario condroplastia del los segundos arcos costales. Dos osteotomias transversas fueron necesarias para corregir la deformidad esternal, se fijan mediante sutura alambre No.5 puntos X. Se fijan los pectorales y se reinserta el recto anterior del abdomen. El resultado luego de tres dias en terapia intensiva, ya estubado, y sin soporte ventilatorio. Comentarios El Pectus excavatum Pectus Excavatum Congenital Deformities of the chest wall and their operative correction " cuyo autor es el Dr. Mark M. Ravitch. Paciente Comentarios Terapia Intensiva Pediatrica Dra. Monica Negretti Jefe del Servicio Dra. Blanca Nieves Rodriguez Dra. Ileana Rojas Dra. Maria Eugenia Socorro Dra. Olga Correa Dra. Maria Eugenia Seijas Dr. Vladimir Jimenez O. Dr. Pedro Guerrero Jefe del Servicio Dra. Maria Celicia Pinto Casos Interesantes Conexiones Informaciones

77. ATE Responses SUBJ (12/98) pectus excavatum AND PULMONARY DISEASE. Neither pectus excavatumnor chronic obstructive pulmonary disease is normally associated with FSHD. http://www.mdausa.org/experts/question.cfm?id=611

78. Experts, Consultants, Authorities - Pectus Excavatum Specialty pectus excavatum. Physicians For Quality. 1017 W. HopkinsSan Marcos, Texas 78666 Tel 800284-3627, Fax 512-805-8358 http://www.hgexperts.com/listing/Medical-Experts-Pectus-Excavatum.asp

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79. ENLmedical.com: Conditions And Concerns: Medical Encyclopedia: Pectus Excavatum Surgery to correct pectus excavatum, a deformity of the front of the chest wallwith depression of the breastbone (sternum) and rib (costal) cartilages. http://www.enlmedical.com/article/002949.htm

Medical Dictionary Naturapathic Glossary Aphrodisiacs Immune System ... Table of content Pectus excavatum repair Description: While the child is deep asleep and pain-free (using general anesthesia), an incision is made over the breastbone (sternum). The deformed cartilages are removed and the rib lining is left in place to allow regrowth of the cartilages. An incision is made in the sternum and it is repositioned. A rib or metal strut may be used to stabilize the sternum in normal position until healing occurs in 3 to 6 months. A chest tube may be placed to reexpand the lung if the lining of the lung is entered. Metal struts are removed 6 months later through a small skin incision under the arm. This procedures is usually done as an outpatient. Indications: Repair of pectus excavatum may be recommended for: improved appearance (cosmetic repair) improved breathing ( respiratory function) What to Expect After: Satisfactory repair is usually achieved with surgery. Recurrence of the deformity affects 10% to 15% of patients. Many affected children have other connective tissue disorders. Convalescence: Hospitalization for 1 week is common. Vigorous activity may need to be restricted for 3 months.

80. Pectus Excavatum In Children The summary for this Russian page contains characters that cannot be correctly displayed in this language/character set. http://www.rusmedserv.com/pedthorsurg/vdgk.htm

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