Nonoperative correction of pectus carinatum with orthotic bracing

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Gregory T BaneverKevin P Moriarty

Abstract

This study sought to evaluate the efficacy of nonoperative compression in correcting pectus carinatum in children. Children presenting with pectus carinatum between August 1999 and January 2004 were prospectively enrolled in this study. The management protocol included custom compressive bracing, strengthening exercises, and frequent clinical follow-up. There were 30 children seen for evaluation. Their mean age was 13 years (range, 3-16 years) and there were 26 boys and 4 girls. Of the 30 original patients, 6 never returned to obtain the brace, leaving 24 patients in the study. Another 4 subjects were lost to follow-up. For the remaining 20 patients who have either completed treatment or continue in the study, the mean duration of bracing was 16 months, involving an average of 3 follow-up visits and 2 brace adjustments. Five of these patients had little or no improvement due to either too short a follow-up or noncompliance with the bracing. The other 15 patients (75%) had a significant to complete correction. There were no complications encountered during the study period. Compressive orthotic bracing is a safe and effective alternative to both invasive surgical correction and no treatment for pectus carinatum in children. Comp...Continue Reading

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Citations

May 16, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Seock Yeol LeeKihl Rho Lee
Sep 10, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Manuel LopezOlivier Tiffet
Jun 11, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Inês PessanhaTiago Henriques-Coelho
May 25, 2013·Journal of Pediatric Surgery·Sara Colozza, Andreana Bütter
Jan 22, 2013·Journal of Pediatric Surgery·Richy T LeeDavid L Sigalet
May 19, 2012·Journal of Pediatric Surgery·Sherif EmilRobert Baird
Oct 18, 2008·Journal of Pediatric Surgery·Jacob T Stephenson, Jeffrey Du Bois
Jun 28, 2008·Seminars in Pediatric Surgery·Marcelo Martinez-FerroSilvia Bernard
Jun 28, 2008·Seminars in Pediatric Surgery·Steven R Lopushinsky, Annie H Fecteau
Aug 29, 2014·Interactive Cardiovascular and Thoracic Surgery·Du-Young KangSungsoo Lee
Feb 29, 2016·Annals of Saudi Medicine·Iskander S Al-Githmi
Mar 7, 2009·Rehab Management·Alan Ruskin
Jan 1, 2009·Revista Brasileira De Ortopedia·Sydney Abrão Haje, Davi de Podestá Haje
May 10, 2013·Current Opinion in Pediatrics·Thomas J Desmarais, Martin S Keller
Jun 27, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Charlene DekonenkoGeorge W Holcomb
Mar 9, 2020·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Esra GirayGulseren Akyuz

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