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Specialized Rib and Breastbone Care

Pectus deformities affect approximately one in 400 individuals and become more severe during adolescence. With this in mind, our chest wall care team at AdventHealth for Children offers the latest nonsurgical and surgical treatment options for pectus excavatum (sunken chest), pectus carinatum (pigeon chest) and other complex chest wall disorders.

We can help you and your child understand their condition and any impact it may have on their growth, health and self-esteem. If surgery is needed, we offer innovative procedures, including the Ravitch (open approach) and Nuss procedure, a minimally invasive option for reduced scarring and a faster return to daily life for your child.

AdventHealth Medical Group Pediatric Surgery at Orlando

Hours Information
Monday
8 am to 5 pm
Tuesday
8 am to 5 pm
Wednesday
8 am to 5 pm
Thursday
8 am to 5 pm
Friday
8 am to 12 pm
Saturday
Closed
Sunday
Closed

Find the right pediatric thoracic specialist or location that’s convenient for you.

Meet the Team

Christopher Anderson, MD

Christopher Anderson, MD, FACS

Medical Director

Ashleigh Kittle - Peds Surgery APRN

Ashleigh Kittle, APRN

What to Know About Pectus and Chest Wall Deformities

In this video, Dr. Chris Anderson, our medical director of pediatric surgery and the chest wall clinic, discusses what parents should know about pectus excavatum and pectus carinatum. He covers the differences, what recovery looks like and the advancements that have made these procedures much safer in recent years.

Answers to FAQs About Chest Wall Conditions

  • What is pectus excavatum (sunken chest)?

    Pectus excavatum is when the sternum (breastbone) is pushed into the chest due to costal cartilage. The defect can apply pressure and displace the heart and lungs. Pectus excavatum correction surgery can be performed by pediatric thoracic surgeons, cardiothoracic surgeons and orthopedic surgeons. Treatment options include the suction bell, Ravitch (open) surgical repair, and the Nuss (minimally invasive) repair. The defect typically worsens during adolescent growth spurts and can be corrected starting at 12 years old.

  • What is pectus carinatum (pigeon chest)?

    Pectus carinatum is when the sternum (breastbone) is pushed outward from the chest due to abnormal cartilage, causing a pigeon chest. The defect does not apply pressure to the heart or lungs, but can cause atypical chest pain and breathlessness on exertion. Carinatum defects can be treated non-invasively with bracing at almost any age, or surgically during adolescent years.

  • What are the different treatment options?

    The Ravitch (open approach) and Nuss procedure (minimally invasive approach) are two surgical options. We also offer intraoperative cryoablation therapy (temporary freezing of nerves) for postoperative pain management, which allows most patients to be discharged 2 to 3 days after surgery. Postoperative activity will be tailored for each patient based on surgical approach and condition.

  • What happens during the Ravitch procedure?

    During the Ravitch procedure, the following steps are performed:

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  • What happens after the Ravitch procedure?

    Your child will need pain medicine and rest after the surgery. He or she will need to stay home from school until prescription pain medicine isn't needed.

    For about six weeks after the surgery, your child should:

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  • What happens during the Nuss procedure?

    During the Nuss procedure, the following steps are performed:
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  • What happens after the Nuss procedure?

    Even though the Nuss procedure is minimally invasive, your child will need pain medicine and rest after the surgery. He or she will need to stay home from school for about three weeks.

    For about six weeks after the surgery, your child should:

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Hear From Families Just Like Yours

Bobby’s Story
Patient Testimonial - Bobby Sparks

“My son Bobby was born with pectus excavatum. We were initially told it would resolve on its own, but as he continued to grow, it wasn’t improving. Our pediatrician referred us to Dr. Anderson, and after evaluation, we learned his pectus was crushing his heart.

I am forever grateful to this team for helping my son. From the doctors to the nurses and everyone in between, everyone was wonderful and diligent with his needs. They knew exactly what he needed pre- and post-surgery. When he sees a needle, he’ll pass out. The nurses were so patient trying to get him his IV. We couldn’t have asked for a better experience.” – Pamela, Bobby’s Mom

Kealey’s Story
Patient Testimonial of Kealey Froncak

“Dr. Anderson and the AdventHealth for Children team were amazing. From the consultation to pre-op, through surgery and aftercare, all our questions were answered, and we were treated with compassion and care. The Nuss procedure was a success, and our athlete was back to dancing in no time. We are so grateful for Dr. Anderson and his expert support team.” – Brandy, Kealey’s Mom

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