Chest Wall Clinic
Pectus deformities affect approximately one in 400 people and usually become more severe during adolescent growth years. If untreated, adults experience increasing symptoms with advancing age.
The Chest Wall Clinic at Nationwide Children’s Hospital provides comprehensive evaluation and treatment of disorders affecting the chest wall including pectus excavatum, pectus carinatum, rib deformities and chest wall tumors. Our minimally invasive surgical techniques, including the Nuss procedure, provide reduced scarring and a faster return to regular activities for patients.
Patients receive comprehensive treatment from a multidisciplinary team that includes, but is not limited to, nurses, anesthesiologists, and occupational and physical therapists.
Often patients require evaluation by cardiology, surgical services and pulmonary medicine. When these interventions are needed, they work in concert with the physicians and staff of the Chest Wall Clinic to care for the patient. These patients also require radiologic evaluations including plain radiologic chest films and sometimes computed tomography of the chest. Those patients who require surgery are given close attention to pain control and early initiation of physical therapy.
Services We Offer
- Chest Wall Brace
- Chest Wall Deformaties Surgery
- Nuss Procedure
- Pectus Excavatum Surgery
- Pectus Excavatum Vacuum Bell
Brian D. Kenney, MD, MPH, is the Surgical Director of the Pediatric Intensive Care Unit at Nationwide Children's Hospital and an Associate Professor of Clinical Surgery at The Ohio State University College of Medicine. He is the Director of the Chest Wall Center which provides care for children and adolescents with pectus excavatum and pectus carinatum.
Patrick I. McConnell, MD, is an Attending Surgeon in the Department of Cardiothoracic Surgery at The Heart Center at Nationwide Children's Hospital.
Chest wall deformities can be evident in infancy, but many also develop or become more obvious as children grow. Abnormalities are usually noted by the parents, but may be evident only to the physician and found during routine chest examination.
Other deformities may be noted by the patient. Because the chest wall develops over time, becoming less flexible after infancy, disorders may become more or less problematic with maturation of the chest wall.
We understand that traveling away from home for health care can bring special stresses to your patients and their families. To help, our Welcome Center supports many of the unique needs of those arriving here from outside central Ohio, including:
- Clinical arrangements
- Housing and transportation
- Ronald McDonald House (for extended stays)
- Financial counseling to assist families with questions related to coverage for health care services, and specifically for out-of-network coverage
- Sibling care
- Pastoral care
Our representatives are available to assist you at any time. Please contact the Welcome Center at 1-800-792-8401 ext. 9861.
The optimal ages for chest wall deformity referrals are between 10 and 12 years. Patients are examined earlier if parents or the primary care physician have questions.
If patients are diagnosed after adolescence, they can still be examined to determine what their options are given the severity of the deformity. With any of these referrals, no pre-visit studies are needed.