The occurrence of funnel chest is not closely related to calcium deficiency

) Do you know? In our country, at least one of every 1000 people has a thoracic deformity characterized by the former chest wall sag, which is known as "funnel chest" in medicine. According to statistics, the incidence of this disease is as high as 0.1% ~ 0.8%.

However, the vast majority of patients will use their clothes to mask this malformed body, and even many doctors do not know much about the "funnel chest", explaining to the patients that "calcium deficiency is the cause of chest leakage ". Wang wenlin, director of the department of Thoracic Surgery of the Second People's Hospital of Guangdong Province, summarized the nine misunderstandings of patients and their families on the missed chest by summarizing the clinical cases.

Misunderstanding 1:

Funnel Chest is caused by calcium deficiency

"The connection between calcium deficiency and Rickets has been confirmed by people early, but it refers to the abnormal development of the whole body skeleton. If this exception occurs in the thoracic area, it is mostly manifested as chicken breast or complicated malformed, it is rarely manifested in funnel chest, so the occurrence of funnel chest is not closely related to calcium deficiency." Said Wang wenlin.

However, today, in the pediatric and even thoracic surgery wards of many hospitals, doctors still explain to patients that calcium deficiency is the cause of chest leakage, making calcium supplementation endless. This not only does not play a therapeutic effect, but also delays the best time for patient treatment.

Misunderstanding 2:

The funnel chest will be inherited.

According to Wang wenlin, there are many sayings about the pathogenesis of funnel chest, three of which are representative: the first is the oppression of the thoracic spine by the limbs during the fetal period; the second is the uncoordinated development of the thoracic area, and the third is the genetic factor. There are some principles in the three arguments, and they all seem to be able to explain the mechanism of some patients with funnel chest. But not all patients can use a hypothesis, that is, at least some patients are not caused by genetic diseases.

In the clinic, it is found that both father and son, brother, and even several generations of relatives have missed breasts, but more patients do not show any signs of family inheritance. Therefore, Wang wenlin believes that, it is at least not completely correct to say that the funnel chest is a genetic disease.

Misunderstanding 3:

A mild funnel chest won't compress the heart

Wang wenlin pointed out that for some patients with mild funnel chest, because they do not show symptoms of heart pressure, when the doctor tells the possibility of heart pressure, the patient often misunderstands the Doctor's intention, so that there is resistance.

In fact, for healthy people, the human sternum is closely associated with the heart. Normal human's sternum has a certain effect on the heart, and this oppression is difficult to avoid when there is sag in the sternum. For patients with funnel chest, as long as there is a sag in the sternum, no matter the severity or severity of the heart, the difference is only the degree of oppression and whether there is any symptoms.

Misunderstanding 4:

You can recover to normal after exercise.

The funnel chest is a thoracic deformity and the thoracic is a bone structure. Such a structure has its own specific development patterns. The main changes of the exercise body are the muscle morphology and volume. The changes in muscle morphology can only mask the shape of the skeleton, but it is difficult to change the shape of the skeleton, therefore, it is impossible to correct the funnel chest through muscle exercises.

Misunderstanding 5:

It is impossible for patients with funnel chest to gain fat.

Many people think that the shape of many patients with funnel chest is thin. Many people think that it is impossible for patients with funnel chest to gain weight. In clinical practice, Wang wenlin found that many of the older patients with funnel chest can have various sizes, however, there are many thin and thin patients with funnel chest, in order to improve the thoracic deformity, and even take the initiative to eat themselves as fat.

Misunderstanding 6:

No surgery is required for all of the chest that have no symptoms.

If you want to perform an operation, you need to consider two aspects: first, whether there are serious symptoms, and second, whether it is very ugly. The former is mainly determined by doctors, while the latter is mainly determined by patients.

Symptoms are often severe for patients with severe malformed funnel chest. Under such circumstances, the opinions of doctors and patients are consistent, and patients often take the initiative to request surgery. However, if there is no obvious symptom of a mild malformed state, that is, the disease is very mild, and the doctor does not advocate the operation, which is in line with common sense for general treatment.

Misunderstanding 7:

NUSS procedure can treat all funnel chest

There are many orthopedic methods for DN baby success funnel chest. Currently, popular Nuss procedures have become a standard procedure for the treatment of funnel chest. This allows many people to think that the NUSS operation is omnipotent and can correct all types of missed chest defects. This is actually a wrong understanding.

Regardless of the type of funnel chest or its severity, all Nuss procedures raise the steel plate from the bottom of the sag. For any satisfactory orthopedic operation, the most ideal operation should be individualized and meticulous correction for malformed features, to ensure that the procedure can achieve the best results in each different malformed, it is clear that the NUSS procedure is not such a fine procedure.

Misunderstanding 8:

Nuss operation after congenital heart disease is dangerous

Because some hospitals have independent cardiac surgery and thoracic surgery, while congenital heart disease is a cardiac surgery, funnel chest surgery is a thoracic surgery, which makes many cardiac surgeons do not or are not good at funnel chest surgery, as a result, a large number of children with funnel chest that were not completed during cardiac surgery were clinically present.

In general Nuss procedures, the most critical step is to pass the plate through the gap between the sternum and the heart. If the gap does not exist due to heavy adhesion, it is likely that the heart will be stabbed during the placement of the steel plate, causing fatal bleeding. In fact, as long as the path of the operation, the position of the incision, and the sequence of operation are reasonably designed, any secondary operation is actually very safe and not as frightening as some doctors and patients have said.

Misunderstanding 9:

The sooner the funnel chest is operated, the better.

Most children with missed breasts are found when they are very small. Once a parent finds such a problem, he always goes to the hospital to see a doctor immediately and hopes to treat the child as soon as possible.

However, because of the special thoracic structure of children, the procedure cannot be completed at an early age. If the steel plate is placed too early, it will limit the development of the thoracic area of the steel plate. If your child is younger than 2 years old and is not in serious condition, which procedure is not appropriate? Therefore, it is best not to consider the procedure. (He xuehua)

The occurrence of funnel chest is not closely related to calcium deficiency