Chicken breast or funnel breast
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A chicken breast or a pectus carinatum consists of a forward facing breastbone. Usually you can see at a young age that the chest has a shape change. During the growth in puberty it is even more noticeable.
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The pectus carinatum is the opposite of a funnel or shoemaker's chest (pectus excavatum). The change in shape of the chest can be more or less pronounced. The abnormality can worsen during puberty. Children with a chicken breast or funnel breast often worry about what their chest looks like. Many are ashamed of their breast shape and would rather wear a covering sweater or T-shirt than openly expose themselves. This is very understandable: teenagers especially do not want to stand out from their peers. A chicken breast does not cause medical problems in childhood. The heart of a child with a funnel chest has moved more to the left due to the dent in the chest. Despite this, the shape does not hinder breathing or circulation. A funnel breast can cause more complaints in old age. Elderly people then suffer from shortness of breath or reduced ability to exercise.
Causes
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The chicken breast and funnel breast are both expressions of excessive cartilage growth at the sternum. Excessive cartilage formation between the ribs and the sternum pushes the sternum - in the case of a chicken breast - outwards. With a funnel chest, the sternum grows inward. A funnel breast is more common than a chicken breast. The cause of excessive cartilage growth is unknown. Hereditary factors sometimes play a role in the construction of the chest. Chicken breast is more common in boys and less common in girls.
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Treatment
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The breathing of a child with a chicken breast or funnel breast is not restricted: lung function tests are actually always normal. It is understandable that the change in shape of the chest can cause a lot of psychological distress for (beginning) adolescents. Many children therefore want urgent surgery. If the situation is cosmetically disturbing, a surgical correction can be done. However, the deviating shape is not corrected until the child is older.
Operation A funnel breast is sometimes filled by a silicone mold under the skin. Another option is to place a metal bar behind the breastbone. This gives the sternum the opportunity to grow normally. After about three years, the rod is removed again. Nowadays, a surgical technique is used in a number of centers, in which a metal brace is placed under the breastbone. Two cuts are made on each side of the rib cage, through which the brace is inserted. A cut is also made higher, so that the position of the brace is checked. This article has been approved by Dr. J.M. de Bont, pediatrician-pediatric neurologist at UMC Utrecht. Last revised September 17, 2018 Don't miss anything anymore?
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