We have the largest experience in the treatment of chest wall deformities in Ukraine. We widely use both conservative and advanced minimally invasive surgical treatments.

Congenital chest wall deformities occur in 2% of the population. Depending on its severity, many types of deformities of the sternum and ribs cause functional disturbances of the cardiovascular and respiratory systems. Cosmetic imperfections lead to the development of severe psychological disorders: children become shy and secluded. These circumstances adversely affect the harmonious development of the child’s body and the social adaptation of patients.
Cause
Chest deformities are congenital diseases, and the the severity of the deformity usually progresses rapidly during puberty at the age of 11-15 years old.

Symptoms
Symmetric or asymmetric retraction of the sternum and ribs – Pectus Excavatum (funnel chest)
Symmetric or asymmetric protrusion of the sternum and ribs – Pectus Carinatum (pigeon chest)

Chest Wall Deformity and function of internal organs
Chest Wall Deformity might be a cause of hypertension, stenocardia and arrhythmia.

Treatment
Depending on the type and severity of the deformity, chest wall deformities are often treated with surgery, a brace or no treatment at all.

Conservative management
Among the most frequently recommended methods of conservative treatment of funnel chest deformities are the following: physical exercises (sport) and external braces (orthosis).
Physical therapy. Unfortunately, physical exercises, swimming, special programs of physiotherapy exercises in no way affect the regression of deformity. However, they are necessary to maintain the adequate function of the cardiovascular system and lungs.
Vacuum Bell. The method proposed by the German engineer Eckart Klobe – Vacuum Bell – is now quite widespread in the world. A vacuum bell is a rubber bell- or cup-shaped device that connects to a pump. You place the device on the front of the chest and use the pump to suck the air out of the device. This creates suction, or a vacuum, that pulls the chest and breastbone forward, which gradually makes the chest more mobile and, over time, the deformation decreases. The method is more effective in children and adolescents with non-rigid (soft) deformities.

Surgery
The presence of severe Chest Wall Deformities during the initial doctor’s visit or progression of deformity is an indication for a surgical correction. In our practice, we were the first in Ukraine to implement Nuss operations. Elevation thoracoplasty according to Nuss with funnel-shaped Chest Wall Deformity increase the volume of pleural cavities and lungs. In growing children, an increase in the volume of pleural cavities after surgery leads to a regression of respiratory disorders. The average hospital stay for a patient is 7-8 days. In the postoperative period, the restriction of physical activity for 4-6 months is recommended. The clinic of the Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine annually operates more than 100 patients with severe Chest Wall Deformities age ranged from 10 to 55 years old. Our total experience is more than 1,000 operations.

The advantages of minimally invasive Nuss surgery with us:
1. Small incisions (3-4 cm.)
2. Minimal trauma to surrounding tissues
3. Quick recovery with minimal rehabilitation, a quick return to a familiar lifestyle
4. Better functional and cosmetic result.
5. Low relapse rate

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Photos of the patient before the surgery and 3 months after

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Photos of the patient before the surgery and 3 months after

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Photos of the patient before the surgery and 3 months after

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Photos of the patient before the surgery and 3 months after

Photos of the patient before the surgery and 3 months after

Photos of the patient before the surgery and 3 months after

Photos of the patient before the surgery and 3 months after

Photos of the patient before the surgery and 3 months after

Photos of the patient before the surgery and 3 months after

Photos of the patient before the surgery and 3 months after/p>

Photos of the patient before the surgery and 3 months after

Photos of the patient before the surgery and 3 months after

Photos of the patient before the surgery and 3 months after

Photos of the patient before the surgery and 3 months after

Contact us for an advice and we will help solve your problems with Chest Wall Deformity due to the most innovative and effective treatment methods that are used in leading clinics in US and Europe

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