Can Funnel Chest Be Corrected at 36? Treatment Options - Orthopedics

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Funnel chest, also known as pectus excavatum, is a condition where the breastbone is sunken into the chest, creating a concave appearance. This condition can vary in severity and can sometimes lead to physical and psychological issues, including reduced lung capacity and self-esteem concerns. While it is often diagnosed in childhood, adults can also seek treatment, and your age of 36 does not preclude you from considering correction options.


Treatment Options for Funnel Chest
1. Non-Surgical Options:
- Physical Therapy: While physical therapy cannot correct the structural deformity, it can help improve posture and strengthen the muscles around the chest. This may alleviate some discomfort and improve overall function.

- Bracing: In some cases, especially in younger patients, bracing may be recommended to help reshape the chest. However, this is less common in adults.

2. Surgical Options:
- Nuss Procedure: This minimally invasive surgery involves inserting a curved metal bar under the sternum to push it outward. The bar is typically left in place for about two to three years, after which it is removed. This procedure is often preferred for its shorter recovery time and less visible scarring.

- Ravitch Procedure: This is a more invasive surgical option that involves removing the abnormal cartilage and repositioning the sternum. This method may be more suitable for severe cases or when other conditions are present.


Considerations for Surgery
- Age and Health: While surgical correction is more commonly performed in adolescents, adults can also benefit from these procedures. Your overall health, including lung function and any comorbidities, will be assessed before surgery.

- Psychological Impact: Many adults seek surgery for cosmetic reasons, as funnel chest can affect self-image. Addressing these concerns is important, and psychological evaluations may be part of the pre-surgical process.

- Recovery: Recovery from surgery can vary. The Nuss procedure generally has a quicker recovery time compared to the Ravitch procedure, but both require a period of rest and limited physical activity.


Prognosis
The prognosis for surgical correction of funnel chest is generally positive. Most patients experience significant improvements in chest appearance and, in many cases, lung function. However, as with any surgical procedure, there are risks involved, including infection, bar displacement, and complications related to anesthesia.


Conclusion
At 36, you are still a candidate for surgical correction of funnel chest. It is advisable to consult with a thoracic surgeon who specializes in chest wall deformities. They can provide a thorough evaluation and discuss the most appropriate treatment options based on your specific condition and health status. Additionally, consider discussing your motivations for surgery and any concerns you may have, as these are important aspects of the decision-making process.