UT San Antonio
Long School of Medicine

Sunken or Pigeon Chest? A Parent’s Guide to Pectus

In this episode Dr. Ian Mitchell reviews pectus excavatum and carinatum — how they present, when to watch versus refer, and the role of imaging and the Haller index. He explains indications for repair, ideal timing (typically mid‑teens), nonoperative options like bracing and vacuum bell therapy, and compares Nuss and Ravitch procedures.

The episode also covers advances in perioperative care (erector spinae blocks, cryoanalgesia, safety tools), recovery timelines, long‑term considerations, and community resources including the Fresh Start program for families in need.

Meet your host:

Holly Wayment
Holly Wayment,
Host and Executive Producer, Pediatrics NOW