Caring for Chest Wall Problems in Children

The Nemours Children’s chest wall disorders team helps children feel better, inside and out. We offer the latest nonsurgical and surgical treatments for pectus excavatum (sunken chest), pectus carinatum (pigeon chest) and other complex chest wall problems, including isolated rib deformities.

Our team is led by surgeons who are experts in chest wall disorders. We help you understand your child’s condition and any impact it may have on growth, health and self-esteem. We’ll talk about treatment options and the best time for treatment.


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Conditions We Treat

  • Pectus excavatum (symmetrical and asymmetrical) 
  • Pectus carinatum (symmetrical and asymmetrical) 
  • Chondro-manubrial type 
  • Chondro-gladiolar type 
  • Hybrid chest wall conditions 
  • Currarino-Silverman syndrome 
  • Pectus arcuatum 
  • Unilateral deformity 
  • Horseshoe pectus
  • Slipped rib
  • Genetic conditions associated with elastic cartilage problems 
  • Ehlers-Danlos syndrome 
  • Marfan syndrome 
  • Newborn conditions 
  • Bifid sternum 
  • Sternal cleft 
  • Jeune syndrome 
  • Pentalogy of Cantrell

Featured Provider

Dr. Charles Paidas is a pediatric general surgeon at Nemours Children's Hospital, Delaware in Wilmington. He also sees patients in Philadelphia, Pa.

His goal is to help children and their families as a whole. He is very interested in the role of healthy families in the greater framework of society. 

Expert Pediatric Care for Chest Wall Disorders

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The conditions we treat vary depending on the location and providers selected. Don’t see a condition listed? Call us.

Why Choose Us

We offer a one-stop-shop for diagnosis and treatment in a family-centered, friendly environment. When your family comes to our program, you get:

  • Experienced pediatric surgeons who treat all ages, from newborn to young adults. 
  • Latest nonsurgical treatments as well as surgical expertise in Nuss, Ravitch and floating sternum procedures. 
  • Seamless care, including long-term follow up and help transitioning to adult providers. 
  • Compassionate providers who also address your child’s social and emotional needs.

Expert Pediatric Care for Chest Wall Disorders


We offer non-operative vacuum bell treatment for
Pectus Excavatum and chest wall bracing for Pectus Carinatum deformities. If surgery is needed, we have expertise in the latest procedures, including the Nuss and modified Ravitch techniques. We use minimally invasive methods, which can mean fewer cuts, a faster recovery and better results.

Children with chest wall disorders can have trouble breathing, heart problems and cartilage-associated conditions. We work with a team of specialists, including geneticists, to plan the best possible care as your child grows.