Hello

According to the situation you describe, it should be chicken breasts

Chicken breasts are mostly caused by rickets in children, that is, the body lacks enough vitamin D to reduce the calcium content. Phosphorus absorption is impaired, osteomalacia occurs, and the connection between the chest ribs and the sternum is indented, causing the sternum to protrude and form chicken breasts. This kind of deformity often forms around 1 year old. In fact, the chicken breast we see after 2 to 3 years old is the sequelae of childhood rickets. In addition to chicken breast, children often have other deformities, such as square skull, "X" ” shaped legs, “O” shaped legs, etc.

In addition to affecting the appearance of the body, severe chicken breasts compress the heart and lungs due to the inwardly concave ribs on both sides, which has a certain impact on circulation and respiratory functions. Children are prone to fatigue and repeated respiratory infections.

The treatment of pectus carinatum also requires surgical methods

1. The upper and lower vascularized sternal flipping surgery is the same as the pectus excavatum surgery method

2. The method of pedicleless sternal flipping surgery is basically the same as the pectus excavatum surgery. The method is that the ribs and costal cartilage of the chicken breast are longer, the 34th rib and costal cartilage of the chicken breast are the longest, and the 5th rib is shorter. Special attention should be paid during the operation

3. Thoracic rib subsidence surgery with a midline or transverse incision in front of the chest Separate the pectoralis major muscles on both sides to expose the deformed pectoral muscles and costal cartilage on both sides. Cut off the rectus abdominis muscle at the attachment point of the rectus abdominis muscle, turn it downwards and incise the rib periosteum. Remove the excessively long parts of each costal cartilage involved within the deformity range and remove it. The periosteum that is too long is longitudinally sutured. If the deformity of the pectoral muscle is severe, a transverse wedge osteotomy is required to flatten the sternum, and then the pectoralis major muscle is fixed and sutured with wires, and the rectus abdominis muscle is sutured in front of the sternum. The effect of the operation is very satisfactory

When surgically correcting the deformity of pectus carinatum, you should pay attention to whether the protruding sternum will compress the heart after surgery. Therefore, chest X-rays and CT films should be carefully studied before surgery. If there is no lung tissue between the sternum and the heart, sternum compression may occur after surgery. During cardiac surgery, Properly elevate the sternum position