Chest Wall Abnormalities: Pectus Excavatum & Carinatum — What Pediatricians Need to Know
Update: 2025-11-21
Description
Dr. Ian Mitchell joins Holly Wayment to review pectus excavatum and carinatum: how they present, typical ages of detection, and practical screening tips for pediatricians.
The episode summarizes evaluation steps including when to order CT with Haller index, echocardiography, and pulmonary testing, and compares treatment options—bracing and vacuum bell therapy, Nuss and Ravitch procedures—plus timing (ideal repair ~14–15 years) and perioperative care.
Listeners also hear about pain management advances (erector spinae blocks, cryoanalgesia), outcomes, psychosocial effects, adult considerations, and the Fresh Start program offering free reconstructive surgeries for eligible families.
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