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Pectus and Chest Wall Center

Based in the prestigious Harley Street, the Pectus and Chest Wall Center specialises in the diagnosis and treatment of chest wall deformities.

Our goal is to provide a personalised care to adolescents and adults with common and complex chest wall deformities, including pectus excavatum, pectus carinatum, flared ribs, slipping rib syndrome and other congenital rib anomalies.

Chest wall deformities are fairly common (1 in 400 births for pectus excavatum) and can have a major impact on patient’s health, psychology and lifestyle. Whether the chest sinks in (pectus excavatum) or protrudes (pectus carinatum), the result can affect the breathing, exercise tolerance and even change how the patient feels about his or her appearance.

Our team utilises the latest surgical and non-surgical techniques in a friendly and highly specialised environment.

Specific focus has been given in the non-surgical techniques for the management of pectus carinatum (dynamic compression brace) and pectus excavatum (vacuum bell).

Mr Nikolaos Panagiotopoulos is a consultant Thoracic surgeon at University College London Hospitals (UCLH) and Honorary Clinical Associate Professor at UCL, London, UK

 

Conditions we treat


 

Pectus Excavatum (funnel chest)

What is pectus excavatum

Pectus excavatum, a Latin term for “hollowed chest”, is a chest wall deformity in which the sternum caves in, causing a sunken appearance in the chest wall. Also known as “funnel chest”, pectus excavatum is usually congenital, and cases may vary from mild to severe.

 

Pectus Excavatum – Vacuum Bell

The Vacuum Bell is a non-surgical treatment option for the management of pectus excavatum.

The Vacuum Bell uses a suction cup that creates a vacuum seal on the chest wall and lifts the sternum improving the deformity. The device allows patients to use it without interfering with school, sports and other daily activities.

Various studies have shown that Vacuum is a safe therapy for treating pectus excavatum in a non-surgical conservative manner. VBT has been shown to have higher success rates in those who present earlier, have mild, symmetric pectus excavatum, a more compliant chest wall and lack of costal flaring.

Contact us now to arrange for a consultation and discuss further the management of pectus excavatum with the vacuum bell.

 

Pectus Carinatum (Pigeon chest)

What is pectus carinatum

Pectus carinatum, also called “pigeon chest”, is a rare chest wall deformity characterized by protrusion of the sternum and the ribs. It affects around 1 in every 1500 children, occurs more often in boys and typically becomes more pronounced during early adolescence.

In pectus carinatum, the cartilages grow abnormally, causing unequal growth in the areas where the ribs connect to the sternum. This results in the outward appearance of the chest wall.

 

Pectus carinatum – Brace treatment 

Non-surgical treatment with the brace represents one of the most common and effective techniques to treat pectus carinatum.

This is accomplished by a specially fitted compression brace around the circumference of the chest that applies the correct pressure to reshape the chest and decrease the bony protrusion.

The success of bracing therapy is directly related to the elasticity of the chest wall and the number of hours per day the patient applies the brace.

We recommend wearing the brace for several hours per day and for a duration of about a year.

We will regularly, in the outpatient clinic, evaluate the progression of the treatment and adjust the bracing pressure as necessary.

We offer different type of braces for the management of the pectus carinatum including the most advanced FMF Dynamic Compressor.

This is a custom-fitted, expandable, low profile, hypoallergenic, ultra-light aluminum brace designed to deliver the precise amount of pressure needed to gradually reshape the chest wall with minimal discomfort. The system was developed in Argentina and is being used worldwide.

The major advantage of this bracing system is that it objectively measures the pressure needed to correct the condition.

Bracing treatment for pectus carinatum is very safe.

Contact us now to arrange for a consultation and discuss further the management of pectus carinatum with the brace.

 

Flared ribs

What is a flared ribs deformity

Flared ribs deformity  is where the lower portion at the front of the rib cage protrudes forwards and out. It can be bilateral in which case can be symmetric or asymmetric or affect only one side. Various causes have been associated with this deformity including weak abdominal muscles, lordosis and ineffective breathing. This type of deformity in many cases is a part of a more complex chest wall abnormality and often it coexists with pectus excavatum or pectus carinatum.

 

Flared Ribs – Brace treatment 

Non-surgical treatment with the brace represents one of the most common and effective techniques to deal with flared ribs deformity.

This is accomplished by a specially fitted compression brace around the circumference of the lower chest that applies the correct pressure to reshape the chest and decrease the flared rib protrusion.

The success of bracing therapy is directly related to the elasticity of the chest wall and the number of hours per day the patient applies the brace.

We recommend wearing the brace for several hours per day and for a duration of about a year.

We will regularly, in the outpatient clinic, evaluate the progression of the treatment and adjust the bracing pressure as necessary.

Bracing treatment for pectus carinatum is very safe.

Contact us now to arrange for a consultation and discuss further the management of flared ribs with the brace.

 

Why choose us?


  • A Consultant led service, from experts in their field, providing the highest level of care.

  • Same day diagnostic imaging and screening service.

  • A dedicated and experienced team, able to cater for individual needs.

  • State of the art facilities at the forefront of modern healthcare.

We can offer minor treatments on the same day as your consultation, as well as a prompt diagnosis.

 

Make an enquiry


You or your referring clinician can book an appointment with us using one of three simple methods:

Call us on 020 7079 2100  

Email us on [email protected]

Complete our secure online booking form

Online booking form

We will send a confirmation once your consultation is booked. If you would like to rearrange your appointment please do give us at least 24 hours notice.

 

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