The keel chest (Pectus carinatum) is the 2nd most frequent congenital chest malformation in childhood. Here, too, there are many different forms and manifestations. In most cases, the deformity increases with the growth of the child. Depending on the type, age and severity of the deformity, there may be different but usually progressive physical impairments. In adolescence, there is often an enormous amount of suffering and psychological strain.
Our highest goal is a professionally competent and “child-friendly” clarification as well as therapy at the highest international standard. We attach great importance to personal and continuous care – both for “conservative” and “operative” therapy.
Diagnostic
In the context of an initial assessment I take a lot of time for a detailed discussion. Based on the course of the disease and a thorough clinical examination, I can give you as much information and clarification as possible about the clinical picture. In most cases, the following examinations are then arranged:
- Pressure measurement (impression strength)
- Pediatric radiological examinations (X-rays, MRI, 3D reconstruction)
- Pediatric cardiological examination (ECG, cardiac echo)
- Pediatric lung function (paediatric lung specialist)
- photo documentation
- Involvement of further child specialists
Therapie
The therapy of the different forms of keel chest is often conservatively possible. This is especially true for younger patients. An important factor is the flexibility of the chest (pressure measurement). Together with specialized orthopedic technicians, we have developed state-of-the-art and highly effective pressure bandages (pads) for this purpose.
The pad is made to measure for each patient in order to achieve optimum effect. During regular checks, the wearing comfort is checked, the therapy success is measured and documented and the pad is adjusted.
Decades of experience, competence and empathy in combination with all the specialised possibilities of a children’s centre guarantee treatment at the highest international level.
Surgery
With some forms of a keel chest, however, the pad therapy is not effective. In this case – depending on the shape of the keel chest – different surgical methods can be used. Of course, we also have solid expertise in open surgery (ravitch surgery). However, this operation is only necessary for a few patients.
Portrait Winfried Rebhandl
