Preliminary study of efficacy of dynamic compression system in the correction of typical pectus carinatum

Abstract

This preliminary study demonstrated that the DCS with a pressure-measuring device is a minimal invasive system effective for treatment of PC in patients where the anterior chest wall is still compliant. The control of different pressure measurements could be used as the inclusion criterion as well as a predictive factor for aesthetic results and treatment duration.

New Methods for Imaging Evaluation of Chest Wall Deformities

“…In previous published series of patients with chest wall deformities, 90% had associated postural problems and 23% had scoliosis (7, 8). In most patients, physiotherapy was added to the corrective treatment to optimize the results.…”

Bracing of pectus carinatum: A quantitative analysis

“…These PCOs all have a similar goal to provide a constant force to the sternal protrusion to correct the deformity. An abundance of PCO literature has shown that this method of treatment is successful (Haje & Bowen, 1992;Kang et al, 2014;Kravarusic et al, 2006; R. T. Lee et al, 2013;Lopez et al, 2013;Martinez-ferro et al, 2016). However, research has yet to quantify the PCO forces acting on this deformity or characterize the stiffness and potential change in stiffness of the protrusion during treatment.…”

“…Several braces exist that perform the same function; that is to provide a constant force to the Lopez et al, 2013;Martinez-ferro et al, 2008). All braces have similar appearances, containing a bar and pad that lies anteriorly to the torso.…”

“…Only two braces were found to use a pressure system when determining the CF. With the first brace, the clinician applies the brace to their desired level (not exceeding 3 psi) using a pressure device for feedback (Lopez et al, 2013). With the second brace, the CF is decided on using a different pressure device with the criteria of applying the amount of pressure required to fully flatten/correct the protrusion (Martinez-ferro et al, 2008).…”

Pectus carinatum: When less is more

“…Pounds per square inch (psi) is used as the unit of measure, and pressure under 2.5 psi was considered safe in order to avoid skin lesions. Subsequent authors have also reported their experience with the use of this device: Lopez et al [48] reported its use in patients with PIC as high as 14 psi, with good results in 61 of 68 cases in 17 months; and Cohee et al [49] created an algorithm designed to determine the chances of the condition being resolved with a non-operative approach. De Beer et al [52] validated the use of PIC to predict the duration of treatment, and Poola et al [51] found that a low PIC at the beginning of treatment was a good prognostic factor.…”