Pectus Excavatum
OrthoticsPectus Excavatum is often described as ‘sunken chest’, where the breastbone (sternum) is recessed into the chest. It is a chest wall deformity caused by abnormal growth of the cartilage connecting the ribs to the sternum, pulling the chest inward rather than outward.
This condition can be present from birth, but it often becomes more noticeable during periods of rapid growth, particularly in early adolescence.
Pectus excavatum is the most common chest wall deformity, with a prevalence of approximately 1 in 300 - 400 births, and research suggests it affects males more frequently than females. The appearance and severity of the condition can progress during puberty, especially during growth spurts.
Pectus Excavatum Treatment at the London Prosthetics Centre
Provided in collaboration with Steeper Clinic, our specialist orthotists use non-surgical treatment methods to improve physical outcomes and patient confidence in those experiencing Pectus Excavatum. More information on assessments, support and costs can be found on the Steeper Clinic website.
Initial referrals to the London Prosthetics Centre can be made by patients, families, physicians, therapists, insurance providers, case managers, government bodies and others.
Signs and Symptoms of Pectus Excavatum
Pectus excavatum can vary in severity, ranging from mild to more pronounced cases, and may be symmetrical or asymmetrical. Signs and symptoms can include:
- Sunken or hollow appearance of the chest
- Shortness of breath, particularly during exercise
- Reduced stamina or fatigue
- Chest pain
- Rapid heartbeat (in some cases)
- Poor posture
- Psychological concerns such as low self-esteem or body image issues
While mild cases may not cause physical health problems, more severe cases can place pressure on the heart and lungs, potentially affecting breathing and exercise tolerance.
You should seek an appointment with paediatric surgery for assessment to ensure that there are no cardiac or respiratory complications caused by the chest shape. Surgical treatment is currently only available via a national MDT. Your local surgical team can make this referral.
Pectus Excavatum Treatment Options
Every patient is different, and treatment will depend on the severity of the condition and the age at the start of treatment. In more severe cases, treatment has traditionally involved surgery, such as the Nuss procedure, which repositions the sternum. While effective, this is an invasive procedure requiring hospitalisation and recovery time. This treatment is available via a national MDT.
For suitable patients, non-surgical treatment options are available. Orthotic solutions, such as vacuum bell therapy, have been increasingly used to support chest wall remodelling in growing children and adolescents. We aim to gradually improve chest shape over time without the need for surgery.
The PectusLabs Gvacuum has achieved incredible results such as these in 14 months, and in just 10 months below.
We take 3D surface scans to enable us to measure the correction achieved with precision. In partnership with Steeper Clinic, we assess each patient individually and provide guidance on the most appropriate treatment pathway, including access to advanced orthotic solutions.
Early intervention, particularly during periods of growth, may improve outcomes and reduce the likelihood of requiring surgical treatment later in life.
The PectusLab Gvacuum is designed to fit a wide range of chest wall shapes and sizes, including devices to fit the female anatomy. Your orthotist will be able to select the most appropriate device and will support you throughout your treatment to gain the best possible results.