{"id":1162,"date":"2025-12-08T14:43:07","date_gmt":"2025-12-08T12:43:07","guid":{"rendered":"https:\/\/dralperfindikcioglu.com\/?page_id=1162"},"modified":"2026-03-06T13:11:03","modified_gmt":"2026-03-06T11:11:03","slug":"chest-wall-deformities","status":"publish","type":"page","link":"https:\/\/dralperfindikcioglu.com\/en\/treatments\/chest-wall-deformities\/","title":{"rendered":"Chest Cage Deformities"},"content":{"rendered":"\n\t<section class=\"section\" id=\"section_1731139052\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n  <div id=\"page-header-528307054\" class=\"page-header-wrapper\">\n  <div class=\"page-title dark simple-title\">\n\n    \n    <div class=\"page-title-inner container align-center text-center flex-row-col medium-flex-wrap\" >\n              <div class=\"title-wrapper is-large flex-col\">\n          <h1 class=\"entry-title mb-0\">\n            Chest Cage Deformities (Funnel Chest and Pigeon Chest)          <\/h1>\n        <\/div>\n                    <div class=\"title-content flex-col\">\n        <div class=\"title-breadcrumbs pb-half pt-half\"><\/div>      <\/div>\n    <\/div>\n\n       <\/div>\n    <\/div>\n  \n\t\t<\/div>\n\n\t\t\n<style>\n#section_1731139052 {\n  padding-top: 15px;\n  padding-bottom: 15px;\n  background-color: #3c338e;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1113231848\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-399375335\">\n\n\t<div id=\"col-1950561572\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Chest cage deformities are structural abnormalities that are congenital or develop over time. Among the most common types are funnel chest (pectus excavatum) and pigeon chest (pectus carinatum). These deformities may cause both aesthetic concerns and impairment in respiratory functions.<\/p>\n<p>The question of what causes funnel chest is associated with structural and genetic factors. It is characterized by the inward collapse of the sternum and is usually noticed during childhood. In severe cases, it may put pressure on the heart and lungs, leading to symptoms such as shortness of breath, exercise intolerance, and palpitations.<\/p>\n<p>The question of how pigeon chest is recognized is important in diagnosing this condition. It becomes evident with the forward protrusion of the sternum. It usually increases during adolescence and mostly manifests as aesthetic discomfort. Radiological imaging clarifies the diagnosis and guides the treatment process.<\/p>\n<p>The question of how chest deformities are treated is answered with both surgical and non-surgical methods. The Nuss procedure stands out for funnel chest, while orthopedic braces and the Ravitch surgery are prominent for pigeon chest. The treatment decision is made through individual evaluation and requires a multidisciplinary approach.<\/p>\n<table>\n<tbody>\n<tr>\n<td>Things You Need to Know<\/td>\n<td>Information<\/td>\n<\/tr>\n<tr>\n<td>Definition<\/td>\n<td>Chest cage deformities are structural deformities of the anterior chest wall. The most common types are Funnel Chest (Pectus Excavatum) and Pigeon Chest (Pectus Carinatum).<\/td>\n<\/tr>\n<tr>\n<td>Funnel Chest (Pectus Excavatum)<\/td>\n<td>It is characterized by the inward collapse of the sternum. It is the most common chest wall deformity. It is more common in males.<\/td>\n<\/tr>\n<tr>\n<td>Pigeon Chest (Pectus Carinatum)<\/td>\n<td>It occurs due to the forward protrusion of the sternum. It usually becomes more apparent during adolescence.<\/td>\n<\/tr>\n<tr>\n<td>Causes<\/td>\n<td>&#8211; It may be congenital- Genetic predisposition- Connective tissue diseases (for example Marfan syndrome)- It may appear during rapid growth periods<\/td>\n<\/tr>\n<tr>\n<td>Signs and Symptoms<\/td>\n<td>&#8211; Aesthetic concerns (most common reason for consultation)- Shortness of breath- Exercise intolerance- Chest pain- Heart palpitations<\/td>\n<\/tr>\n<tr>\n<td>Diagnostic Methods<\/td>\n<td>&#8211; Physical examination- Chest X-ray- CT (for Haller index measurement)- Echocardiography (to evaluate cardiac involvement)- Pulmonary function tests<\/td>\n<\/tr>\n<tr>\n<td>Haller Index<\/td>\n<td>It is used to measure the degree of inward collapse of the chest cage.&gt;3.25: A criterion for evaluating surgical indication.<\/td>\n<\/tr>\n<tr>\n<td>Treatment Options \u2013 Funnel Chest<\/td>\n<td>&#8211; Nuss procedure: Minimally invasive surgery, metal bar is placed- Ravitch procedure: Open surgery, cartilage removal- Exercise and postural therapy- Vacuum bell therapy (in mild cases, alternative to surgery)<\/td>\n<\/tr>\n<tr>\n<td>Treatment Options \u2013 Pigeon Chest<\/td>\n<td>&#8211; Compression therapy with orthosis (chest brace)- Surgical correction (Ravitch-type procedure)- Supportive treatment with exercise<\/td>\n<\/tr>\n<tr>\n<td>Surgical Indications<\/td>\n<td>&#8211; Severe deformity- Respiratory\/cardiac symptoms- Psychosocial impact- Failed conservative treatment<\/td>\n<\/tr>\n<tr>\n<td>Surgical Age Range<\/td>\n<td>Usually between ages 11\u201316, preferred before growth is completed; however, it can also be performed in adults.<\/td>\n<\/tr>\n<tr>\n<td>Complications (After Surgery)<\/td>\n<td>&#8211; Pain- Infection- Bar displacement (Nuss)- Bleeding- Rarely recurrent deformity<\/td>\n<\/tr>\n<tr>\n<td>Prognosis<\/td>\n<td>With successful surgery performed at an early age, both aesthetic and functional outcomes are quite good. In untreated cases, it generally does not threaten life but may reduce quality of life.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1950561572 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1113231848 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_79638716\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-1880963618\">\n\n\n\t<div id=\"col-1600958584\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\" style=\"background-color:#3c338e;\" >\n\t\t\t\n\t\t\t\n\n<div class=\"row\"  id=\"row-2042362381\">\n\n\n\t<div id=\"col-1753355860\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner dark\"  >\n\t\t\t\n\t\t\t\n\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_1616157766\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"525\" height=\"776\" src=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/hakkimdagorsel.webp\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/hakkimdagorsel.webp 525w, https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/hakkimdagorsel-271x400.webp 271w\" sizes=\"(max-width: 525px) 100vw, 525px\" title=\"\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_1616157766 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1753355860 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-312493636\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner dark\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-158321395\" class=\"text\">\n\t\t\n\n<div>Prof. Dr. <strong>Alper F\u0131nd\u0131k\u00e7\u0131o\u011flu<\/strong><\/div>\n\n\t\t\n<style>\n#text-158321395 {\n  font-size: 2rem;\n}\n@media (min-width:550px) {\n  #text-158321395 {\n    font-size: 2.25rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\t<div id=\"gap-1796519860\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1796519860 {\n  padding-top: 20px;\n}\n<\/style>\n\t<\/div>\n\t\n\n<p>I was born in Istanbul in 1973. I completed my primary education at Erzincan \u0130n\u00f6n\u00fc Primary School and my secondary and high school education at Erzurum Anatolian High School. I completed my university education at Istanbul University Faculty of Medicine between 1992\u20131998. Afterwards, I completed my specialization between 1998\u20132003 at the Istanbul Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Clinic. I worked as a specialist at the same hospital for 1 year.<\/p>\n<p>Between 2004\u20132005, I fulfilled my military service at G\u00fclhane Military Medical Academy. In 2005, I started working as a lecturer at Ba\u015fkent University Faculty of Medicine, Department of Thoracic Surgery. I became an associate professor in 2014 and a professor in 2022.<\/p>\n<p><strong>I started working at Ac\u0131badem Hospital in 2024.<\/strong><\/p>\n<a href=\"\/en\/about-me\/\" class=\"button white is-outline\" style=\"border-radius:99px;\">\n\t\t<span>About Me<\/span>\n\t<\/a>\n\n\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905457705745\" class=\"button success\" style=\"border-radius:99px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>WhatsApp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-312493636 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1600958584 > .col-inner {\n  padding: 30px 20px 0px 20px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 20px;\n}\n@media (min-width:550px) {\n  #col-1600958584 > .col-inner {\n    padding: 30px 30px 0px 30px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_79638716 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1841911971\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-594772061\">\n\n\t<div id=\"col-956146869\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/chest-wall-deformities\/#What_Are_Chest_Cage_Deformities\" >What Are Chest Cage Deformities?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/chest-wall-deformities\/#What_Are_the_Causes_of_These_Deformities_and_Are_They_Genetic\" >What Are the Causes of These Deformities and Are They Genetic?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/chest-wall-deformities\/#Can_Pectus_Deformity_Be_Corrected_by_Doing_Sports_or_Gaining_Weight\" >Can Pectus Deformity Be Corrected by Doing Sports or Gaining Weight?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/chest-wall-deformities\/#Which_Symptoms_Show_Us_That_This_Condition_Is_Serious\" >Which Symptoms Show Us That This Condition Is Serious?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/chest-wall-deformities\/#Which_Tests_Do_We_Perform_in_the_Diagnostic_Process\" >Which Tests Do We Perform in the Diagnostic Process?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/chest-wall-deformities\/#To_Whom_Is_Vacuum_Bell_Therapy_a_Non-Surgical_Solution_Applied\" >To Whom Is Vacuum Bell Therapy, a Non-Surgical Solution, Applied?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/chest-wall-deformities\/#How_Is_the_Nuss_Surgery_the_Closed_Method_Performed\" >How Is the Nuss Surgery, the Closed Method, Performed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/chest-wall-deformities\/#Is_Brace_Treatment_Effective_for_Pigeon_Chest\" >Is Brace Treatment Effective for Pigeon Chest?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/chest-wall-deformities\/#What_Are_Pain_Management_and_the_Recovery_Process_Like_After_Surgery\" >What Are Pain Management and the Recovery Process Like After Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/chest-wall-deformities\/#When_Is_the_Bar_Placed_in_the_Chest_Removed\" >When Is the Bar Placed in the Chest Removed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/chest-wall-deformities\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_Chest_Cage_Deformities\"><\/span>What Are Chest Cage Deformities?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Chest cage deformities are structural anomalies that arise due to developmental differences in the sternum and ribs. The most common types are pectus excavatum (inward depression of the anterior chest wall) and pectus carinatum (forward protrusion). More rarely, asymmetric deformities and syndromic conditions are observed. While mild cases cause cosmetic concerns, advanced cases may affect respiratory and cardiac functions. Treatment may include follow-up, orthosis applications, or surgical correction.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_the_Causes_of_These_Deformities_and_Are_They_Genetic\"><\/span>What Are the Causes of These Deformities and Are They Genetic?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>This is the issue that families are most curious about and sometimes unfairly blame themselves for. I often encounter questions such as \u201cDid I do something wrong during pregnancy?\u201d or \u201cDid we lay the child down incorrectly?\u201d First of all, please be reassured, this condition is not caused by something you did or did not do. Scientifically speaking, the root of the problem lies in the excessive and irregular growth of the cartilage parts of the ribs. These cartilages grow so rapidly and disproportionately that they either push the breastbone inward or bend it outward.<\/p>\n<p>As for the genetic aspect, yes, there is a familial predisposition. When we examine the histories of the patients who come to our clinic in detail, we see that about one third have a similar condition in their family. Sometimes it may be an uncle, sometimes a cousin, and sometimes a grandfather who has a similar chest structure. However, this does not necessarily mean that there will always be genetic transmission.<\/p>\n<p>In terms of frequency, Pectus Excavatum, or sunken chest, occurs in approximately one in every 300 to 400 births. This rate is much higher than that of Pectus Carinatum. It is more common in boys than in girls. It usually shows a mild sign during infancy, but the time when it truly says \u201cI am here\u201d is during adolescence, when bones grow rapidly. That is why we usually plan treatment according to this age group.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Can_Pectus_Deformity_Be_Corrected_by_Doing_Sports_or_Gaining_Weight\"><\/span>Can Pectus Deformity Be Corrected by Doing Sports or Gaining Weight?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>This is the question my young patients ask me most often and perhaps the one whose answer they most want to hear. Especially boys believe that by going to the gym, lifting weights, or swimming they can fill the hollow in their chest or hide the protrusion. I wish my answer were \u201cyes,\u201d but the medical reality is a bit different.<\/p>\n<p>Pectus deformities are entirely anatomical skeletal problems based on bone and cartilage. Doing sports is undoubtedly excellent for overall health. It improves posture and straightens the shoulders. Developing the chest muscles (pectoral muscles) may mask the deformity to some extent from the outside. However, no exercise program can pull an inwardly collapsed bone outward or push an outwardly protruding bone inward.<\/p>\n<p>In fact, in patients with Pectus Excavatum, sometimes a paradox occurs: as the chest muscles enlarge, the hollow in the middle may appear deeper due to an optical illusion. Similarly, gaining or losing weight does not change the position of the bone. Therefore, when determining our treatment strategy, instead of distracting our patients, we must focus on realistic methods that provide mechanical correction. These methods may be surgical or, depending on the situation, non-surgical medical devices.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Which_Symptoms_Show_Us_That_This_Condition_Is_Serious\"><\/span>Which Symptoms Show Us That This Condition Is Serious?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>It would be a major mistake to see these deformities merely as an \u201caesthetic defect.\u201d Of course, the cosmetic aspect and the psychological trauma it creates are very important, and I will address that shortly. However, our primary concern is the condition of the vital organs inside the chest cage. Especially in patients with deep depressions of Pectus Excavatum, the bone we call the sternum exerts physical pressure on the heart and lungs just behind it.<\/p>\n<p>This pressure may not be noticeable at rest. However, when the child runs, climbs stairs, or plays a football match, the increased oxygen demand of the body cannot be met. This is because the heart cannot fully fill and empty at its maximum capacity due to the pressure on it. The lungs, on the other hand, cannot expand.<\/p>\n<p>The physiological complaints we frequently encounter in these patients are as follows:<\/p>\n<ul>\n<li>Getting tired quickly<\/li>\n<li>Shortness of breath<\/li>\n<li>Chest pain<\/li>\n<li>Palpitations<\/li>\n<li>Feeling of blockage<\/li>\n<li>Feeling of faintness<\/li>\n<\/ul>\n<p>In addition, in thoracic surgery practice we evaluate these patients holistically. Because Pectus Excavatum may not occur alone. In a significant portion of our patients, we also observe spinal curvature, namely scoliosis. Sometimes problems in the heart valves, especially the mitral valve, may accompany it.<\/p>\n<p>There is also a psychosocial dimension that is at least as important as physical health. Adolescence is the period when body perception is at its highest. We see young people who do not want to go swimming because of the deformity in their chest, who avoid changing clothes in locker rooms during physical education classes, who constantly wear loose T-shirts and stand hunched over. This situation may lead to introversion, lack of self-confidence, and serious depression. For us, when deciding on surgery, what the patient \u201cfeels in front of the mirror\u201d is just as decisive a criterion as the tomography result.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Which_Tests_Do_We_Perform_in_the_Diagnostic_Process\"><\/span>Which Tests Do We Perform in the Diagnostic Process?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Making the diagnosis actually begins with a physical examination; when you enter, an experienced eye immediately recognizes the situation. However, an approximate judgment is not sufficient to decide on treatment, especially when planning surgery. In the light of science, we need measurable and objective data. Therefore, we apply a detailed diagnostic protocol.<\/p>\n<p>Our first and most important step is imaging. In the past, chest X-rays were sufficient, but today Thoracic Computed Tomography (CT) is our map. With tomography, we take a cross-sectional image of the chest cage and perform very critical measurements.<\/p>\n<p>The most popular of these measurements is the Haller Index. Simply put, we divide the widest transverse diameter of the chest cage by the narrowest distance between the sternum and the spine. In a normal person, this ratio is around 2.5. If this ratio is 3.25 or higher, it indicates a deformity severe enough to require surgical correction.<\/p>\n<p>However, in recent years another criterion that has come to the forefront in the literature with contributions from Turkish physicians is the Correction Index. The Haller index may sometimes mislead us in patients with very wide chest cages. The Correction Index shows the true depth of the depression much more clearly regardless of chest width. When evaluating my patients, I try to make the most accurate decision by considering both indices.<\/p>\n<p>Preoperative preparation does not end with tomography. We also add the following tests to our list:<\/p>\n<ul>\n<li>Echocardiography<\/li>\n<li>Pulmonary Function Test<\/li>\n<li>Blood tests<\/li>\n<li>Nickel allergy test<\/li>\n<\/ul>\n<p>The nickel test is particularly critical. If we are going to perform a closed surgery and place a steel bar in your chest, we must know whether you have a metal allergy. In patients with allergies, we eliminate the risk by ordering special titanium bars.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-956146869 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1841911971 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1626647065\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-416263180\">\r\n\r\n\n\t<div id=\"col-1533553593\" class=\"col iletisim-sayfas\u0131-col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(218, 61, 96);border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-1445736692\">\r\n\r\n\n\t<div id=\"col-1823312004\" class=\"col medium-11 small-7 large-11\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-2021333499\" class=\"text hide-for-medium\">\n\t\t\r\n\r\n<p><strong>You can contact us via WhatsApp.<\/strong><br \/>To get information about treatments, simply click the button next to it. Our professional team will contact you immediately.<\/p>\r\n\t\t\t<\/div>\n\t\r\n\t<div id=\"text-3546000221\" class=\"text show-for-small\">\n\t\t\r\n\r\n<p><strong>You can contact us via WhatsApp.<\/strong><\/p>\r\n\t\t\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1823312004 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1915218541\" class=\"col medium-1 small-4 large-1\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_1298190304\">\n\t\t<a class=\"\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=905457705745\" target=\"_blank\" rel=\"noopener\">\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp.png 500w, https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp-400x400.png 400w, https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp-280x280.png 280w\" sizes=\"(max-width: 500px) 100vw, 500px\" title=\"\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\t\t\n<style>\n#image_1298190304 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1915218541 > .col-inner {\n  margin: 0px 0px -15px 0px;\n}\n@media (min-width:550px) {\n  #col-1915218541 > .col-inner {\n    margin: 0px 0px -15px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1533553593 > .col-inner {\n  padding: 15px 10px 0px 10px;\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1626647065 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1848292789\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-575198984\">\n\n\t<div id=\"col-452118807\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"To_Whom_Is_Vacuum_Bell_Therapy_a_Non-Surgical_Solution_Applied\"><\/span>To Whom Is Vacuum Bell Therapy, a Non-Surgical Solution, Applied?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Not every patient has to undergo surgery. The fundamental rule of medicine is first to do no harm and, if possible, to solve the problem with the least invasive method. The most effective conservative method developed for Pectus Excavatum, or sunken chest, is Vacuum Bell therapy.<\/p>\n<p>You can think of this device simply as a silicone suction system that applies negative pressure to the chest wall. By removing the air inside with the help of a pump, it pulls the sunken sternum outward through vacuum effect. Especially in children whose chest cage has not yet lost its flexibility and in patients at the beginning of adolescence, it is an excellent option for mild and moderate deformities.<\/p>\n<p>However, this treatment is not a \u201cwear and forget\u201d method; it requires serious discipline. According to our protocol, the use of the device is as follows:<\/p>\n<ul>\n<li>At least 4 hours of use per day<\/li>\n<li>At least 6 months of continuity<\/li>\n<li>Regular pressure control<\/li>\n<\/ul>\n<p>I always tell my patients: \u201cThe success of this device depends entirely on your patience.\u201d In adolescents who use the device regularly, we can see permanent improvements. However, if no improvement is achieved despite strict use for 6 months or if the patient\u2019s chest wall has become very rigid, we begin to discuss surgical options. In addition, this device should be used very carefully in patients with heart disease or coagulation disorders.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Is_the_Nuss_Surgery_the_Closed_Method_Performed\"><\/span>How Is the Nuss Surgery, the Closed Method, Performed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>If surgery becomes inevitable, the method accepted as the \u201cgold standard\u201d worldwide and in our clinic today is the Nuss Procedure. This technique, developed by Donald Nuss in 1987, created a revolution in thoracic surgery. Unlike the open surgeries performed in the past, we do not make large incisions on the front of the chest or cut and remove bones.<\/p>\n<p>We call this surgery \u201cMinimally Invasive Pectus Repair.\u201d Its logic is very similar to orthodontic treatment with braces. Just as braces gradually align the teeth, we support the breastbone from inside and bring it into the correct position.<\/p>\n<p>The procedure is performed under general anesthesia. We make small incisions of about 2\u20133 centimeters on both sides of the chest, corresponding to the axillary line. Through these incisions, we enter with the help of a camera and create a safe tunnel passing above the heart and lungs and directly beneath the sternum.<\/p>\n<p>We pass a C-shaped steel (or titanium) bar that we have pre-shaped according to the patient\u2019s chest structure through this tunnel.<\/p>\n<p>When we place the bar inside, the concave side of the bar faces upward. Then with a special instrument we rotate the bar 180 degrees around its axis. That moment is the most fascinating moment in the operating room. With the turning movement, the collapsed breastbone immediately rises outward and reaches the desired flat position. The result is seen instantly. We place stabilizers on the sides to prevent the bar from shifting and complete the procedure. The operation time is quite short and the risk of bleeding is minimal. The cosmetic results are excellent because the surgical scars remain hidden under the armpits.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-452118807 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1848292789 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_70518391\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-753728444\">\r\n\r\n\n\t<div id=\"col-890957423\" class=\"col iletisim-sayfas\u0131-col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(60, 51, 142);border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-880674255\">\r\n\r\n\n\t<div id=\"col-67935283\" class=\"col medium-11 small-7 large-11\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-3041287083\" class=\"text hide-for-medium\">\n\t\t\r\n\r\n<p><strong>You can contact us via WhatsApp.<\/strong><br \/>To get information about treatments, simply click the button next to it. Our professional team will contact you immediately.<\/p>\r\n\t\t\t<\/div>\n\t\r\n\t<div id=\"text-1570614130\" class=\"text show-for-small\">\n\t\t\r\n\r\n<p><strong>You can contact us via WhatsApp.<\/strong><\/p>\r\n\t\t\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-67935283 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1969777194\" class=\"col medium-1 small-4 large-1\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_437420527\">\n\t\t<a class=\"\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=905457705745\" target=\"_blank\" rel=\"noopener\">\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp.png 500w, https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp-400x400.png 400w, https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp-280x280.png 280w\" sizes=\"(max-width: 500px) 100vw, 500px\" title=\"\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\t\t\n<style>\n#image_437420527 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1969777194 > .col-inner {\n  margin: 0px 0px -15px 0px;\n}\n@media (min-width:550px) {\n  #col-1969777194 > .col-inner {\n    margin: 0px 0px -15px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-890957423 > .col-inner {\n  padding: 15px 10px 0px 10px;\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_70518391 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_941994208\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-971227691\">\n\n\t<div id=\"col-1266453180\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"Is_Brace_Treatment_Effective_for_Pigeon_Chest\"><\/span>Is Brace Treatment Effective for Pigeon Chest?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Our approach for patients with Pectus Carinatum, that is pigeon chest, is somewhat different. Here, surgery is not the first option we consider. This is because this deformity responds very well to pressure applied from the outside. Therefore, our main protocol in the treatment of Pectus Carinatum is Orthotic Brace (Bracing) therapy.<\/p>\n<p>These braces are specially produced according to the patient\u2019s body measurements. The logic is simple: applying controlled and continuous pressure from the outside to the protruding area to push the bone backward. Just like orthodontic braces straighten teeth, the brace reshapes the chest cage.<\/p>\n<p>The success rate is above 90%, especially in patients during adolescence (ages 10\u201314). However, the key word here is \u201ccompliance.\u201d Brace treatment requires patience. At the beginning of treatment, we ask the patient to wear the brace for longer hours each day, and as improvement begins this duration is gradually reduced.<\/p>\n<p>Points to pay attention to during brace use are as follows:<\/p>\n<ul>\n<li>Skin hygiene<\/li>\n<li>Pressure adjustment<\/li>\n<li>Regular doctor follow-up<\/li>\n<\/ul>\n<p>If the brace is tightened too much it may cause wounds on the skin, and if it is left too loose it will not treat the deformity. Therefore, we see the patient regularly and adjust the pressure of the brace. Usually within 1\u20132 years the chest cage completely takes its normal shape. If the patient is at a very advanced age and the chest cage is no longer flexible (rigid) or if brace treatment does not provide a response, then we may consider the closed surgery known as the Abramson technique or open surgical methods.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_Pain_Management_and_the_Recovery_Process_Like_After_Surgery\"><\/span>What Are Pain Management and the Recovery Process Like After Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The issue that my patients and their families fear most before surgery is pain. To be honest, we expect some degree of pain after Nuss surgery. This is because we push outward a bone structure and muscle group that has been collapsed inward for years. This is a significant mechanical change for the body. However, there is no need to worry, because thanks to modern pain management protocols offered by modern medicine, we overcome this process very comfortably.<\/p>\n<p>The method we rely on most for postoperative pain control is Epidural Analgesia. With a very thin catheter placed in the lower back, we prevent the patient from feeling pain. Thanks to this method, the patient wakes up immediately after surgery but does not feel pain. In cases where epidural is not suitable, we use smart pumps called \u201cPatient Controlled Analgesia\u201d (PCA), where the patient presses a button to receive their own pain medication.<\/p>\n<p>The average hospital stay is between 3 and 5 days. During this time we gradually reduce the pain and transition the patient to oral medications. When you return home, there will be some limitations in your movements for the first few weeks.<\/p>\n<p>The restrictions during the recovery process are as follows:<\/p>\n<ul>\n<li>Not lying on the side<\/li>\n<li>Not lifting heavy objects<\/li>\n<li>Not bending the torso excessively<\/li>\n<li>Avoiding sudden movements<\/li>\n<\/ul>\n<p>Usually our patients can return to school or desk work within 2 weeks. Walking is allowed and even encouraged. From the third month onward, they may begin sports such as swimming and running. However, we ask them to stay away for a while longer from contact sports such as boxing, wrestling, or intense football where there is a risk of trauma to the chest.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"When_Is_the_Bar_Placed_in_the_Chest_Removed\"><\/span>When Is the Bar Placed in the Chest Removed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The metal bar we place during the Nuss surgery is not permanent in the body. The role of the bar is to act as a \u201cmold\u201d until the chest cage adapts to its new shape and the bones solidify in that position. According to standard protocols worldwide, this period is approximately 2.5 to 3 years.<\/p>\n<p>During this period the bar remains inside, and after some time the patient no longer feels its presence. Many of my patients even do sports, swim, and continue their normal lives with the bar.<\/p>\n<p>When the time is completed, the chest wall becomes hardened and capable of maintaining its new shape.<\/p>\n<p>The bar removal procedure is much simpler than the initial surgery. It is usually performed as a day procedure. Through a small operation lasting about 30\u201345 minutes, the bar is removed through the small side incisions. After the bar is removed, the risk of recurrence of the deformity is extremely low. Nevertheless, we do not neglect to continue monitoring our patients for a while.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<div class=\"accordion\">\n\t<div id=\"accordion-2603884741\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2603884741-label\" class=\"accordion-title plain\" href=\"#accordion-item-why-do-funnel-chest-and-pigeon-chest-occur?\" aria-expanded=\"false\" aria-controls=\"accordion-2603884741-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Why do funnel chest and pigeon chest occur?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2603884741-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2603884741-label\">\n\t\t\t\n<p>Both deformities are usually congenital and result from abnormal growth of the cartilage tissues that form the chest cage. Genetic predisposition is the most important risk factor.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1526595137\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1526595137-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-symptoms-reveal-funnel-chest-during-childhood?\" aria-expanded=\"false\" aria-controls=\"accordion-1526595137-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which symptoms reveal funnel chest during childhood?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1526595137-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1526595137-label\">\n\t\t\t\n<p>In addition to the sunken chest appearance, shortness of breath, fatigue, and in some cases heart palpitations may occur. The visual deformity is usually the first sign noticed by families.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2281631815\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2281631815-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-does-pigeon-chest-affect-heart-and-lung-functions?\" aria-expanded=\"false\" aria-controls=\"accordion-2281631815-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How does pigeon chest affect heart and lung functions?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2281631815-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2281631815-label\">\n\t\t\t\n<p>The outward protrusion of the ribs may affect the expansion of the lungs and the natural position of the heart. This may cause reduced exercise capacity and shortness of breath.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-939086528\" class=\"accordion-item\">\n\t\t<a id=\"accordion-939086528-label\" class=\"accordion-title plain\" href=\"#accordion-item-do-chest-cage-deformities-worsen-during-adolescence?\" aria-expanded=\"false\" aria-controls=\"accordion-939086528-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Do chest cage deformities worsen during adolescence?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-939086528-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-939086528-label\">\n\t\t\t\n<p>Yes, deformities may become more pronounced during adolescence when rapid growth occurs. Therefore, early diagnosis and follow-up are important for surgical planning.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-834691892\" class=\"accordion-item\">\n\t\t<a id=\"accordion-834691892-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-is-funnel-chest-surgery-performed-and-what-is-the-recovery-time?\" aria-expanded=\"false\" aria-controls=\"accordion-834691892-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How is funnel chest surgery performed and what is the recovery time?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-834691892-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-834691892-label\">\n\t\t\t\n<p>With the Nuss method, a metal bar placed under the chest applies internal pressure to correct the shape. Patients are usually discharged within a few days after surgery, and full recovery may take several months.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1731864193\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1731864193-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-problems-may-occur-if-deformities-are-not-treated-surgically?\" aria-expanded=\"false\" aria-controls=\"accordion-1731864193-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What problems may occur if deformities are not treated surgically?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1731864193-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1731864193-label\">\n\t\t\t\n<p>In advanced cases, decreased heart and lung functions, posture disorders, loss of self-confidence, and psychological problems may develop. Surgery is effective in preventing these effects.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-4209547833\" class=\"accordion-item\">\n\t\t<a id=\"accordion-4209547833-label\" class=\"accordion-title plain\" href=\"#accordion-item-do-chest-cage-deformities-prevent-sports-activities?\" aria-expanded=\"false\" aria-controls=\"accordion-4209547833-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Do chest cage deformities prevent sports activities?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-4209547833-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-4209547833-label\">\n\t\t\t\n<p>While sports are encouraged in mild cases, severe deformities may limit breathing capacity. Proper physical activity planning after surgery is beneficial.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3850507840\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3850507840-label\" class=\"accordion-title plain\" href=\"#accordion-item-are-chest-deformities-treated-only-for-aesthetic-purposes?\" aria-expanded=\"false\" aria-controls=\"accordion-3850507840-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Are chest deformities treated only for aesthetic purposes?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3850507840-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3850507840-label\">\n\t\t\t\n<p>No, many patients experience functional problems such as breathing difficulty, cardiac pressure, or fatigue. Although aesthetic benefit is important, treatment is also required for medical reasons.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-18181655\" class=\"accordion-item\">\n\t\t<a id=\"accordion-18181655-label\" class=\"accordion-title plain\" href=\"#accordion-item-is-vacuum-therapy-effective-in-cases-of-funnel-chest?\" aria-expanded=\"false\" aria-controls=\"accordion-18181655-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Is vacuum therapy effective in cases of funnel chest?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-18181655-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-18181655-label\">\n\t\t\t\n<p>Vacuum devices used in mild deformities may pull the chest upward by creating external negative pressure. However, success depends on age and chest flexibility.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1720483618\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1720483618-label\" class=\"accordion-title plain\" href=\"#accordion-item-does-the-chest-shape-completely-improve-after-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-1720483618-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Does the chest shape completely improve after surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1720483618-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1720483618-label\">\n\t\t\t\n<p>In most patients, the chest appearance returns largely to normal. Especially in interventions performed at a young age, aesthetic and functional results are extremely successful.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2004999627\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2004999627-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-long-does-treatment-for-chest-cage-deformities-(funnel-chest-and-pigeon-chest)-take?\" aria-expanded=\"false\" aria-controls=\"accordion-2004999627-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How Long Does Treatment for Chest Cage Deformities (Funnel Chest and Pigeon Chest) Take?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2004999627-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2004999627-label\">\n\t\t\t\n<p>The treatment duration for chest cage deformities varies depending on the method applied. Surgical methods such as Nuss or Ravitch operations take 2\u20134 hours and the hospital stay is generally 4\u20137 days.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3847582093\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3847582093-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-department-or-doctor-should-be-consulted-for-chest-cage-deformities-(funnel-chest-and-pigeon-chest)?\" aria-expanded=\"false\" aria-controls=\"accordion-3847582093-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which Department or Doctor Should Be Consulted for Chest Cage Deformities (Funnel Chest and Pigeon Chest)?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3847582093-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3847582093-label\">\n\t\t\t\n<p>For chest cage deformities, especially conditions such as Funnel Chest (Pectus Excavatum) and Pigeon Chest (Pectus Carinatum), the department that should be consulted is Thoracic Surgery.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1278915728\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1278915728-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-a-protruding-sternum?\" aria-expanded=\"false\" aria-controls=\"accordion-1278915728-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is a protruding sternum?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1278915728-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1278915728-label\">\n\t\t\t\n<p>A protruding sternum is the condition where the breastbone (sternum) becomes prominently forward. In medicine it is called \u201cpectus carinatum\u201d and is usually noticed during childhood or adolescence.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1369828620\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1369828620-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-is-funnel-chest-corrected?\" aria-expanded=\"false\" aria-controls=\"accordion-1369828620-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How is funnel chest corrected?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1369828620-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1369828620-label\">\n\t\t\t\n<p>Funnel chest can largely be corrected with a chest brace during the growth period. In older ages or in cases where the brace is insufficient, surgical methods may be preferred.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3960172130\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3960172130-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-happens-if-funnel-chest-is-not-treated?\" aria-expanded=\"false\" aria-controls=\"accordion-3960172130-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What happens if funnel chest is not treated?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3960172130-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3960172130-label\">\n\t\t\t\n<p>In most cases it does not pose a life-threatening risk. However, in progressive cases shortness of breath, fatigue, and self-confidence problems may develop. Treatment is considered due to aesthetic and psychological effects.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1266453180 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_941994208 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<div id=\"gap-1550672845\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1550672845 {\n  padding-top: 45px;\n}\n<\/style>\n\t<\/div>\n\t\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":1131,"parent":1086,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-1162","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/pages\/1162","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/comments?post=1162"}],"version-history":[{"count":4,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/pages\/1162\/revisions"}],"predecessor-version":[{"id":1187,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/pages\/1162\/revisions\/1187"}],"up":[{"embeddable":true,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/pages\/1086"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/media\/1131"}],"wp:attachment":[{"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/media?parent=1162"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}