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Pectus excavatum is an abnormality in the formation of the cartilaginous junction between the sternum and the ribs. The disease occurs in one in a thousand children. It is also known as “sunken chest syndrome” or “concave chest syndrome”. The pathology carries not only a cosmetic defect but also causes disorders of the cardiovascular or respiratory systems. The key method of dealing with pectus disease is surgery. It allows the restoration of normal functions of the chest organs and improves the patient’s appearance. Read where such surgery is performed and how much it costs in our article.

 

 

What is pectus excavatum?

воронкообразная деформация грудной клетки

Sunken chest syndrome is the most common pathology of the chest in childhood and adolescence. It is a depression of the breastbone. Boys suffer from this disorder three times more often than girls. 

 

Pectus disease is congenital. The causes of its development are unknown. It is thought to be caused by the rapid growth of the cartilage of the rib that presses on the sternum and pushes it inward.

 

90% of children with chest wall deformity have no pain or discomfort associated with this pathology. From the age of 12, the stiffness of the chest increases in children, making the disease worse. At this time, the symptoms of the ailment appear.

 

Each of the signs of the disease significantly reduces a person’s quality of life. Most often, adolescents develop these symptoms: 

 

    иконка галочки difficulty breathing during light physical activity;  

    иконка галочки impaired heart function;  

    иконка галочки pain behind the sternum and in the back when changing body position;

    иконка галочки the curvature of the posture.  

To learn more about the disease and its treatment, leave a request on our website. Mediglobus coordinators will respond as quickly as possible and help with your medical questions.

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What should I do if I have pectus disease?

To understand how to correct sunken chest syndrome, a comprehensive examination. is necessary. The diagnostic results allow doctors to accurately determine the severity of the disease and create a treatment plan. For grade 1 pectus disease, conservative methods of therapy are effective: physiotherapy and vacuum bell.

 

Concave chest syndrome of the 2nd and 3rd degree is corrected by surgery. The main indication for it is dysfunction of the thoracic organs. Reconstructive plastic surgery can also be performed for aesthetic reasons

 

Most patients undergo pectus surgery in childhood. The procedure should only be performed by expert pediatric surgeons. It requires doctors’ professionalism and years of experience. The easiest way to correct this defect is before the 2nd growth spurt, around the age of twelve.

лечение воронкообразной грудной клетки

Types of surgeries for sunken chest syndrome

Surgery for pectus disease involves an open or minimally invasive intervention. In either case, it is performed under general anaesthesia. After the surgery, the patient is hospitalized for 7 to 24 days (10 days on average). 

 

The most appropriate option for the correction of a sunken chest is determined on an individual basis. If the patient has no pronounced symptoms and the sternum and ribs are evenly depressed, minimally invasive surgery is preferred. With the first degree of funnel-shaped deformity of the chest, aesthetic plastic surgery is possible. 

 

хирургия воронкообразной грудной клетки

This surgery is performed without affecting bone structures and cartilage. It is performed on adults only. The defect is corrected with the patient’s fatty tissue. It is used to fill in the cavity.

 

Classic open intervention is recommended for severe chest deformities. It is performed in 2 stages. First, the doctor makes a 7-10 cm long incision along the sternum. He carefully separates the deformed cartilage, lifts it and re-attaches it. The sternum is stabilized with metal implants and the wound is closed. The second stage is the removal of the implant. It comes one year after the main surgery.

 

In adolescents, more than 95% of interventions for concave chest syndrome are minimally invasive. These are also called Nuss surgeries. They are performed through punctures on the side of the breast. Using a toroscope, the surgeon inserts several metal staples. They “push out” the sunken breast. The staples stay in the body for two to three years. Then they are removed.

 

The minimally invasive sunken chest surgery reduces the patient’s rehabilitation and hospitalization time by half. It leaves no big scars, unlike the open technique. In 75% of cases, the aesthetic and functional results are excellent. The effect of the operation lasts for the whole period of observation, which varies from 6 months to 5 years.
 

To make an appointment for pectus disease, contact the Mediglobus coordinating physicians. We can help with travel arrangements and will be in touch with you 24/7.

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Price of surgery for chest wall deformity in Turkey

    In Turkey, surgical correction of pectus disease in children and adolescents is performed at Medicana and Medistate clinics. These clinics accept patients with light and severe stages of the syndrome.  

 

The thoracic surgeon Mehmet Oğuzhan Özyurtkan is practicing at Medicana Beylikduzu Hospital. The doctor is a top specialist in the surgical treatment of sunken chest syndrome using Nuss technology. His experience exceeds 16 years.

 

The cost of surgery for pectus excavatum in Medicina is 10,000-13,000.

 

 

Medistate has one of the best surgeons for correcting funnel chest deformities in Turkey, professor Mustafa Yüksel. He founded the only centre for the treatment of thoracic deformities in the country. The doctor’s experience exceeds 37 years.

 

The initial price of surgery for pectus excavatum in Medistate is 17,000.

 

Cost of surgery for concave chest syndrome in Austria

The price of sunken chest syndrome surgery in Austrian clinics is based on the severity of the pathology and the surgical technique. It is also influenced by the level of the clinic and the qualifications of the surgeon. The initial cost of this procedure starts at €26,000.

    The most popular medical centres in this area are The Vienna Private Clinic and the Debling Hospital. These institutions are popular among foreign patients.

 

At the Vienna Private Clinic, surgery for sunken chests in children and adolescents is performed by pediatric surgeons with 20 years of experience. 90% of patients are satisfied with the results of the surgical treatment.

 

 

Debling Private Hospital has four state-of-the-art operating rooms. It has everything one needs for minimally invasive as well as open surgeries in children and adults. The clinic performsвазивных, а также открытых операций у детей и взрослых. В клинике Nuss surgery.

 

Price of pediatric surgery for pectus disease in Spain

The approximate cost of surgery to correct this pathology in Spain is €18,000. Foreign patients can have this procedure performed at the University Hospital of Navarra or the Teknon Clinic.

 

Comparison of prices for surgery for pectus excavatum in children

Procedure флаг турции Turkey флаг австрии Austria флаг испании Spain
Pectus disease surgery from €10,000 from €26,000 from €18,000

Reviews of treatment for sunken chest syndrome in children

флаг турции Hospital: Medicana
The cost of surgery for the treatment of pectus excavatum Which procedure: Nuss surgery

The cost of surgery for the treatment of pectus excavatum Patient’s age: 15 years
The cost of surgery for the treatment of pectus excavatum Patient from: Odessa

Oleg: “My son has congenital pectus disease. We treated him conservatively for a long time: massages, therapeutic physical exercises and a vacuum bell. All to no avail. We made up our minds for an operation abroad. For this purpose, we chose Medicana clinic in Turkey. Professor Mehmet Oğuzhan Özyurtkan performed Nuss surgery on my son. It involved the insertion of staples into the chest to straighten it. It was performed under general anaesthesia and lasted about 2 hours. We stayed in the hospital for 10 days. The result is excellent – the chest is straight and there are no scars. My son is happy, and that is the most important thing!”

 

    Resume

    иконка галочки Chest wall deformity is a congenital abnormality of the cartilaginous junction of the chest and ribs. Because of this abnormality, patients’ breastplates appear to concave inward.

    иконка галочки Treatment of pectus excavatum depends on the severity of the pathology. The initial stage of the disease can be corrected with physiotherapy or a vacuum bell. In severe chest defects, surgery is indicated. It involves implanting a plate into the chest to correct the deformed cartilage.

    иконка галочки For pectus disease surgery, medical tourists most often turn to clinics in Turkey, Spain and Austria. The initial price of this procedure is €10,000.

    иконка галочки The highest success rate of funnel chest surgery is observed in such medical centres: Medicina, Medistate, Teknon, University Hospital of Navarra, Hospital Debling and the Vienna Private Clinic.

To treat pectus excavatum, you need to go to experienced doctors. Mediglobus cooperates with leading clinics abroad, where the best pediatric surgeons in the world practice. We will help to organize a consultation with a doctor and the trip.

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Sources:

 

  1. National Center for Biotechnology Information
  2. Mayo Foundation for Medical Education and Research

 


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