Pectus excavatum (funnel chest) is a condition where the front of the chest is sunken. This is caused by abnormally shaped ribs.

Why does it occur?

Pectus excavatum tends to occur at or soon after birth in some people.  In the majority, however, it occurs following a growth spurt. Typically, this happens as young people leave primary education and enter secondary (11-14 years). It is caused by abnormal growth of the cartilage ribs that attach to the sternum (breast bone).

How will it affect me?

In mild cases, there is no obvious effect apart from the appearance of your chest. In more severe cases, it may have affect on heart and lung function.

How common is it?

It is difficult to be exact but we think it occurs in less than 10 people per 1000 in the UK. Boys are affected 4 times as often as girls.

How is it diagnosed?

Diagnosis is made by looking at your chest. Other tests may be necessary to look at your heart and lungs, especially if considering treatment.

What is the treatment

There are 3 main treatment options:

• For the mildest cases, physiotherapy assessment and advice, aimed at improving posture, core strength and breathing are usually adequate.
• For those affected more severely and those not keen on surgery, we offer a Vacuum Bell device.
• Surgery is normally reserved for the more severe cases, after completing full assessment and if deemed suitable. Typically, we undertake the Nuss Operation.