Kenneth Kee

A Simple Guide to Funnel Chest (Pectus Excavatum), Diagnosis, Treatment and Related Conditions (eBook, ePUB)

• Format: ePub

Produktbeschreibung

This book describes Funnel Chest or Pectus Excavatum, Diagnosis and Treatment and Related Diseases

Recently an old patient brought his 13 year old grandson to consult me about the sunken appearance of the boy's chest.
It was a typical case of pectus excavatum.
Because the boy was greatly distressed by his appearance I referred him to orthopedic surgeon for evaluation.

Pectus excavatum is the abnormal funnel at the sternum
The chest in affected children has a sunken appearance
It can occur in families through inheritance
A few genetic syndromes are associated with it such as Marfans

Usually there are no symptoms except for the sternal depression
Some children may have decreased breathing function
The most important test is the X-ray studies
Pulmonary and cardiac tests will determine the severity

CT scan and MRI of the chest will then confirm the necessity
Whether the affected child has the need for surgery
Measurement of the depression will help decide the treatment
Mild pectus excavatum cases do not require any adjustment

Mild pectus excavatum will just require physiotherapy
Moderate depression may be filled with dermal fillers
Severe pectus excavatum may require surgical intervention
With solid silicone and prosthetic implantation

-An original poem by Kenneth Kee

Pectus excavatum or Funnel Chest is an abnormal development of the rib cage that gives the chest a caved-in or sunken appearance.

It is the most frequent congenital chest wall abnormality in children (90%).

Pectus excavatum (a Latin term meaning hollowed chest) is the most frequent congenital deformity of the anterior wall of the chest, in which several ribs and the sternum grow abnormally.

The deformity affects the 3rd to 7th costocartilages or ribs but the most serious deformity happens in the area of the xiphisternum.

Funnel Chest is featured by a depression in the sternum, normally the lower half of the sternum.

The deformity may be symmetrical affecting both sides of the chest equally.

It is more often asymmetrical and may involve other parts of the thorax.

Pectus Excavatum may be noticed in an infant at birth or the person may develop it later during childhood.

The presenting patient is often a thin, tall male that appears to be slouching, and thoracic scoliosis may also be observed.

Sternal depression and rotation may depress the heart, causing a group of cardiopulmonary signs and symptoms, including exercise intolerance.

A heart murmur can be heard that is due to a defective mitral valve (i.e., prolapse, regurgitation).

Exercise intolerance is one of the most frequent complaints.

The psychological impact on patients can be considerable, particularly during the adolescent period.

The typical diagnostic feature is a sunken appearance of the sternum.

The heart can be displaced or rotated.

The base lung capacity is decreased

The Haller index (HI) is the standard index utilized to quantify the severity of a pectus excavatum deformity.

Mild cases have also documented to have been treated with corset-like orthopedic support vests and physiotherapy methods and exercise.

These exercises are planned to stretch and strengthen the muscles in the chest, back and shoulders.

Reduced cardiopulmonary function is the most important indication for surgical repair.

There are 2 forms of surgical correction: open repair (Ravitch Procedure) and minimally invasive repair with a metal bar (Nuss Procedure).

Physical therapy may be useful in enhancing the posture

TABLE OF CONTENT
Introduction
Chapter 1 Funnel Chest (Pectus Excavatum)
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapt...

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Produktdetails

• Verlag: Kenneth Kee
• Erscheinungstermin: 21. September 2022
• Englisch
• ISBN-13: 9781005125776
• Artikelnr.: 75904880

Autorenporträt

Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...