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Pectus Excavatum & Carinatum: Treatment in Children and Adults

Dec 20, 2025·6 min read
Pectus Excavatum & Carinatum: Treatment in Children and Adults

Pectus deformities affect 1 in 400 people and can cause breathlessness, reduced exercise tolerance and significant psychological distress. Modern Nuss and Ravitch procedures deliver excellent cosmetic and functional results.

What is pectus?

Pectus excavatum (sunken chest) and pectus carinatum (pigeon chest) are chest wall deformities affecting about 1 in 400 people. Beyond appearance, they can compress the heart and lungs, causing breathlessness, palpitations and poor exercise tolerance.

The Nuss procedure

The minimally invasive Nuss procedure inserts a curved metal bar behind the sternum that gradually remodels the chest wall over 2-3 years, then is removed. It is the treatment of choice for symmetric deformities, especially in young patients.

The Ravitch procedure

For asymmetric or complex deformities, the open Ravitch approach reshapes the cartilage and sternum directly. It offers reliable, lasting correction.

Outcomes

Both procedures are performed under general anaesthesia with a hospital stay of 4-6 days at Hameed Latif Hospital, Lahore. Long-term satisfaction - both cosmetic and functional - is excellent.

Dr Ahmad Ali

About the author

Dr Ahmad Ali

Advanced VATS & General Thoracic Surgeon · MBBS, FCPS

Consultant Thoracic Surgeon at Hameed Latif Hospital, Lahore and former Head of the Thoracic Surgery Department at Services Institute of Medical Sciences (SIMS) & Services Hospital, Lahore. Dr Ahmad Ali specialises in minimally invasive VATS surgery for lung, chest wall, mediastinal and esophageal conditions.

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