Brace Compression for Treatment of Pectus Carinatum.
10.5090/kjtcs.2012.45.6.396
- Author:
Joonho JUNG
1
;
Sang Ho CHUNG
;
Jin Kyoung CHO
;
Soo Jin PARK
;
Ho CHOI
;
Sungsoo LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Korea. chestlee@ajou.ac.kr
- Publication Type:Original Article
- Keywords:
Chest wall;
Device;
Pectus carinatum
- MeSH:
Braces;
Follow-Up Studies;
Humans;
Patient Compliance;
Recurrence;
Skeleton;
Thoracic Wall
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2012;45(6):396-400
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Surgery has been the classical treatment of pectus carinatum (PC), though compressive orthotic braces have shown successful results in recent years. We propose a non-operative approach using a lightweight, patient-controlled dynamic chest-bracing device. MATERIALS AND METHODS: Eighteen patients with PC were treated between July 2008 and June 2009. The treatment involved fitting of the brace, which was worn for at least 20 hours per day for 6 months. Their degree of satisfaction (1, no correction; 4, remarkable correction) was measured at 12 months after the initiation of the treatment. RESULTS: Thirteen (72.2%) patients completed the treatment (mean time, 4.9+/-1.4 months). In patients who completed the treatment, the mean overall satisfaction score was 3.73+/-0.39. The mean satisfaction score was 4, and there was no recurrence of pectus carinatum in patients who underwent the treatment for at least 6 months. Minimal recurrence of pectus carinatum after removal of the compressive brace occurred in 5 (38.5%) patients who stopped wearing the compressive brace at 4 months. CONCLUSION: Compressive bracing results in a significant improvement in PC appearance in patients with an immature skeleton. However, patient compliance and diligent follow-up appear to be paramount for the success of this method of treatment. We currently offer this approach as a first-line treatment for PC.
