Introduction

Pectus excavatum, a congenital deformity of the chest wall characterized by a sunken breastbone, can have both physical and psychological impacts on patients. In New York City, there are several hospitals renowned for their expertise in pectus excavatum plastic surgery. This article aims to present the top ten hospitals in New York City for this specific type of surgery, highlighting their facilities, medical teams, and surgical techniques.

What is Pectus Excavatum?

Pectus excavatum, often referred to as funnel chest or sunken chest, is a condition where the breastbone (sternum) appears sunken and the chest is concave. It is a congenital deformity that may worsen during the teen years. The majority of cases are isolated findings, but some genetic conditions can include pectus excavatum. In severe cases, it can cause chest pain and affect breathing, especially in adults.

Types of Pectus Excavatum Repair Surgery

There are two main types of surgery to repair pectus excavatum: open surgery and closed (minimally invasive) surgery. These are described in detail below:

Open Surgery

• The surgeon makes a cut across the front part of the chest.
• The deformed cartilage is removed, leaving the rib lining in place to allow the cartilage to grow back correctly.
• A cut is made in the breastbone, which is then moved to the correct location. A metal strut may be used to hold the breastbone in the normal position until it heals, which takes 3 to 12 months.
• A tube may be placed to drain fluids that build up in the area of repair.
• The metal struts are removed in 6 to 12 months through a small cut in the skin under the arm, usually on an outpatient basis.

Closed (Minimally Invasive) Surgery

• The surgeon makes two small incisions, one on each side of the chest.
• A small video camera called a thoracoscope is placed through one of the incisions to view inside the chest.
• A curved steel bar, shaped to fit the child, is inserted through the incisions and placed under the breastbone to lift it. The bar is left in place for at least 2 years to help the breastbone grow properly.
• At the end of surgery, the scope is removed and the incisions are closed.

The Top Ten Hospitals in New York City for Pectus Excavatum Plastic Surgery

1. NYU Langone Health

NYU Langone's team of doctors is dedicated to providing the most advanced, personalized care for pectus excavatum. Their doctors are well - versed in diagnosing and treating this condition. Patients can browse their list of providers who treat pectus excavatum and schedule an appointment online. The hospital's commitment to patient - centered care and access to the latest medical research gives it an edge in treating this complex deformity.

2. Mount Sinai - New York

Mount Sinai's plastic surgery practice offers comprehensive care for pectus excavatum repair. Their board - certified plastic surgeons have extensive experience in both cosmetic and reconstructive surgery. The hospital has a long tradition of providing groundbreaking plastic surgical care. The newly designed Derfner - Lieberman Family Center for Plastic and Reconstructive Surgery provides a comfortable and advanced environment for patients. The surgeons use the latest technology, including a 55 - inch touchscreen for patient education and visualization of anticipated results. In addition, they offer non - invasive enhancing treatments and can arrange remote telemedicine consultations if needed.

3. Columbia Surgery (Columbia University)

As one of New York's best hospitals and a world - class medical center, Columbia Surgery has unmatched experience in plastic surgery. The plastic surgeons on their clinical staff are proficient in multiple areas of specialization, including pectus excavatum repair. The hospital's division is at the forefront of clinical and laboratory research in plastic surgery. They offer a wide range of programs and services, such as cosmetic care, reconstructive care, cleft palate/cleft lip care, orthoplastic surgery care, and breast reconstructive care. The hospital's craniofacial surgery program can provide specialized care for complex cases related to chest wall deformities in children.

4. NewYork - Presbyterian

The expert team of plastic surgeons at NewYork - Presbyterian Hospital is dedicated to improving patients’ quality of life through various cosmetic and reconstructive surgeries. They have specialists with a wide range of expertise in aesthetic and reconstructive procedures. The surgical departments at both NewYork - Presbyterian Hospital/Columbia University Medical Center and NewYork - Presbyterian Hospital/Weill Cornell Medical Center offer extensive reconstructive and aesthetic surgery. The plastic surgery divisions in the departments of otolaryngology provide expert surgical care, specifically for the head and neck, which can be related to associated deformities in pectus excavatum cases.

5. Children's Hospital at Montefiore

This hospital is nationally ranked in 3 pediatric specialties. It has a team of experts who can handle pediatric cases of pectus excavatum with great care. The hospital is equipped with the necessary facilities and expertise to provide surgical and post - surgical care for children with this condition. They focus on the unique needs of pediatric patients, including proper growth and development during and after the treatment.

6. NYU Langone Orthopedic Hospital

NYU Langone Orthopedic Hospital is known for its orthopedic and plastic surgery capabilities. In cases where pectus excavatum is associated with other musculoskeletal issues, this hospital can provide comprehensive treatment. Their surgeons are experienced in performing corrective surgeries with a focus on long - term functionality and aesthetic results.

7. Lenox Hill Hospital

Lenox Hill Hospital has a team of surgeons who are experienced in treating pectus excavatum. The hospital offers a patient - friendly environment and a high level of personalized care. They are affiliated with some of the top doctors in the city who are well - trained in plastic and reconstructive surgery for chest wall deformities.

8. Memorial Sloan Kettering Cancer Center (in certain cases)

Although primarily known for cancer treatment, Memorial Sloan Kettering has expertise in reconstructive surgery. In cases where pectus excavatum is associated with cancer - related deformities or in post - cancer reconstructive scenarios, their team of surgeons can provide specialized care. Their research and advanced surgical techniques can be beneficial for complex cases.

9. Brooklyn Hospital Center

The Brooklyn Hospital Center has a growing reputation in plastic and reconstructive surgery. They offer services for pectus excavatum repair, focusing on patient satisfaction and positive outcomes. Their medical team works closely with patients to understand their needs and provide appropriate treatment options.

10. Northwell Health Hospitals

Northwell Health has multiple hospitals across the area with a combined expertise in plastic and reconstructive surgery. Their surgeons are involved in research and the development of new treatment techniques for pectus excavatum. They offer a range of services, from initial consultation to post - operative care, with a focus on high - quality patient care.

Comparing the Hospitals

Here is a comparison table highlighting some key aspects of these top ten hospitals:

Factors to Consider When Choosing a Hospital for Pectus Excavatum Plastic Surgery

When selecting a hospital for pectus excavatum plastic surgery, patients should consider the following factors:

Medical Team Expertise

The experience and qualifications of the surgeons and medical staff are crucial. Look for board - certified plastic surgeons who have a specific focus on pectus excavatum repair. Surgeons with a high volume of cases may have more experience and better outcomes.

Facilities and Technology

Advanced facilities and the latest surgical technology can improve the accuracy and safety of the surgery. Hospitals with state - of - the - art equipment, such as 3D imaging for pre - surgical planning, can provide better results.

Patient - Centered Care

A hospital that focuses on patient - centered care will take the time to understand the patient's needs, answer their questions, and provide support throughout the treatment process. This includes pre - surgical counseling, post - surgical follow - up, and access to support services.

Research and Innovation

Hospitals involved in research and innovation are more likely to offer the latest treatment options and techniques. This can lead to better outcomes and fewer complications.

Cost and Insurance

Consider the cost of the surgery and whether the hospital accepts your insurance. It is important to understand the financial aspects of the treatment and to work with the hospital's financial counselors to ensure affordability.

Pre - Surgery Preparation and Post - Surgery Care

Pre - Surgery Preparation

Before pectus excavatum repair surgery, patients will need to undergo a complete medical exam and medical tests. The surgeon will typically order an electrocardiogram (ECG) and possibly an echocardiogram to check heart function, pulmonary function tests to assess breathing, and a CT scan or MRI of the chest. Patients should inform the surgeon or nurse about all the medicines they are taking, including drugs, herbs, vitamins, and any other supplements, as well as any allergies. About 7 days before surgery, patients may be asked to stop taking certain blood - thinning drugs. On the day of surgery, patients are usually asked not to eat or drink anything after midnight the night before and to take only the drugs the surgeon has approved with a small sip of water.

Post - Surgery Care

After the surgery, it is common for patients, especially children, to stay in the hospital for 3 to 7 days. Pain is common after the surgery and may be managed with strong pain medicine in the vein or through a catheter placed in the spine for the first few days, followed by oral medicines. Patients may have tubes in the chest to drain extra fluid, which will be removed when the drainage stops. The day after surgery, patients are encouraged to sit up, take deep breaths, and get out of bed and walk to aid in healing. At first, patients should avoid bending, twisting, or rolling from side to side, and activities will be gradually increased. Before leaving the hospital, patients will receive a prescription for pain medicine, and they should follow any instructions for at - home care.

Conclusion

In New York City, there are several top - notch hospitals that offer excellent care for pectus excavatum plastic surgery. Each hospital has its own strengths, whether it's in terms of medical team expertise, advanced facilities, patient - centered care, or research and innovation. Patients should carefully consider their options and choose a hospital that best meets their needs. By doing so, they can increase the chances of a successful surgery and a positive outcome.

If you or someone you know is considering pectus excavatum plastic surgery, take the time to research these top ten hospitals, consult with the medical teams, and make an informed decision. Share this article with others who may benefit from this information, and explore more about pectus excavatum treatment options to ensure the best possible care.