Effect of the compressive brace in pectus carinatum

Lee, Seock Yeol; Jeon, Cheol Woo; Lee, Cheol Sae; Lee, Kihl Rho

doi:10.1016/j.ejcts.2008.04.012

Cited by 39 publications

(21 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although non-surgical treatment of pectus carinatum (PC) using a compressive brace offers highly satisfactory results in children and teenagers [1,2], this approach is not regarded as helpful for adults. The Ravitch open-surgery procedure [3] has been the standard surgical approach to PC for decades, until Abramson introduced his minimally invasive technique in 2005 [4] and Kálmán reported his results with a modified Nuss procedure applied to PC patients in 2009 [5].…”

Section: Introductionmentioning

confidence: 98%

New minimally invasive technique for correction of pectus carinatum

Pérez

Cano

Quevedo

et al. 2011

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

We describe a new video-assisted operative technique for correction of pectus carinatum (PC) using a modified Nuss procedure. A new design of the steel bar was developed, so that it could be introduced and placed in a suitable position through very small skin incisions. Substantial modifications were introduced in the bar length and shape aimed at facilitating insertion and subsequent removal when required. All the surgical manoeuvres took place under direct vision using a 30° thoracoscope. Single unilateral fixation of the bar in a subpectoral pocket provided satisfactory stabilisation without the need for lateral stabilisers. Adequate correction of the deformity was achieved with minor postoperative scars. Our results support the view that minimally invasive surgical repair should be preferred over open surgery for correction of pectus carinatum in young adults and children.

show abstract

Section: Introductionmentioning

confidence: 98%

New minimally invasive technique for correction of pectus carinatum

Pérez

Cano

Quevedo

et al. 2011

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

show abstract

“…Instead, the majority of the patients complain of the cosmetic problem, which is not easily concealed with clothes. This issue tends to worsen as the deformity develops during puberty when growth accelerates [1-4]. …”

Section: Introductionmentioning

confidence: 99%

“…Correction of pectus carinatum with an external compression brace currently has a high profile, and favorable results have been reported [1-4,8]. In this article, the authors report on the outcomes of pectus carinatum patients treated conservatively with compression braces.…”

Section: Introductionmentioning

confidence: 99%

Brace Compression for Treatment of Pectus Carinatum

Jung

Chung

Cho

et al. 2012

Korean J Thorac Cardiovasc Surg

View full text Add to dashboard Cite

BackgroundSurgery 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 MethodsEighteen 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.ResultsThirteen (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.ConclusionCompressive 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.

show abstract

“…The typical PC deformity is first recognized during the early adolescent years and progressively becomes more severe until full skeletal maturity is reached, after which little change occurs throughout adulthood [4]. Some patients develop rigidity of the chest wall with decreased lung compliance, progressive emphysema, and increased frequency of respiratory tract infections [5]. …”

Section: Introductionmentioning

confidence: 99%

Safe performance of spinal anesthesia in a critical patient with neurofibromatosis, pectus carinatum, and temporomandibular joint dysfunction: A case report

Zencirci

2010

Patient Saf Surg

View full text Add to dashboard Cite

BackgroundNeurofibromatosis is a syndrome caused by the abnormal deposition of neural tissues of the nervous system, endocrine system, visceral structures, and skin. On the other hand, pectus carinatum and temporomandibular joint dysfunction are illnesses that adversly affect the respiratory system and cause additional problems in airway management.Case PresentationFifty-eight-year-old Turkish male patient had neurofibromatosis, pectus carinatum and temporomandibular joint dysfunction. The case was due to be operated on with the diagnosis of incarcerated umbilical hernia. Spinal anesthesia was successfully performed and the duration of the surgery was 1 hour. No postoperative complications were observed and he was discharged from the hospital on the 3rd post-operative day.ConclusionThe anesthetic management of patients with neurofibromatosis requires attention to all possible abnormalities and associated disturbances. Furthermore, the presence of pectus carinatum and temporomandibular joint dysfunction also increase the potential risks. The operation was successfully completed with spinal anesthesia that was carefully applied upon taking the required measures and considering all pathologies that may accompany the case and complications that may occur.

show abstract

Effect of the compressive brace in pectus carinatum

Cited by 39 publications

References 9 publications

New minimally invasive technique for correction of pectus carinatum

New minimally invasive technique for correction of pectus carinatum

Brace Compression for Treatment of Pectus Carinatum

Safe performance of spinal anesthesia in a critical patient with neurofibromatosis, pectus carinatum, and temporomandibular joint dysfunction: A case report

Contact Info

Product

Resources

About