Ravitch Surgery or Dynamic Compression Bracing for Pectus Carinatum: A Retrospective Cohort Study

Braak, H.; Beer, Stafford; Zwaveling, Sander; Oomen, Matthijs W.N.; Jong, Justin de

doi:10.1016/j.athoracsur.2022.10.041

Cited by 8 publications

(2 citation statements)

References 26 publications

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“…These authors elaborated on a new device called dynamic chest compressor (DCC). Since this first report, the approach diffused progressively worldwide in the following decades and today non-operative management is considered the first-line option for this anomaly ( 18 ). Many benefits of the conservative approach contributed to this shift in practice.…”

Section: Discussionmentioning

confidence: 99%

A new custom-made bivalve brace for pectus carinatum in children and adolescents: preliminary promising experience of 140 patients from a tertiary center

Frediani,

Zarfati,

Pardi

et al. 2024

Front. Pediatr.

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IntroductionInternational research suggests that poor patient compliance is the main cause of tutor failures in the context of potential novel orthopedic bivalve braces for conservative treatment of pectus carinatum. Our entire experimental study is based on the hypothesis that a rigid bivalve brace that patients can accept could solve the main problem associated with the conservative approach—poor compliance. The hypothesis was to reduce the thickness and weight of the classic bivalve brace to ensure concealment and make it sustainable enough to be worn several hours a day without compromising its therapeutic efficacy.Materials and methodThe research was conducted from January 2020 to December 2022 to ensure follow-up of all participants for at least 6 months. In 36 months, 140 patients with pectus carinatum were assessed and conservatively treated with the studied guardian to analyze the therapeutic efficacy of the bivalve brace and patient compliance. From the initial visit, the parents and patient were informed that this is a 2-year therapeutic course during which the bivalve brace should be worn at least 23 h a day (with 1 h of abstinence per day for routine personal hygiene practices). Compliance is the key to therapy success, and the duration of treatment depends on patient adherence.ResultsThe exceptional effectiveness of the experimental brace was confirmed by both the questionnaire from the patients (with an average satisfaction rate of 8.9/10) and an assessment of the therapy's results by a properly selected medical committee (with a VAS scale satisfaction of 7.2/10 for symmetric forms and 7.1/10 for asymmetric ones).ConclusionIn conclusion, the analyzed data confirmed the research hypotheses. First, none of the 140 patients had cardiovascular diseases directly related to their condition, confirming that pectus carinatum is a pathology of a purely aesthetic nature. Second, a cheap, lightweight, and easily obscured brace significantly improved patient compliance. Along with this, the social relevance of the aesthetic aspect today may be an important factor in motivating the study cohort to adhere to therapy. In the past, esthetics and appearance were less relevant at the social level, which may have contributed to the high abandonment and reduced compliance rates of the many studies in the literature.

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Section: Discussionmentioning

confidence: 99%

A new custom-made bivalve brace for pectus carinatum in children and adolescents: preliminary promising experience of 140 patients from a tertiary center

Frediani,

Zarfati,

Pardi

et al. 2024

Front. Pediatr.

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“…At present, the most commonly used treatment methods are orthopaedic braces [3,4] and minimally invasive surgical treatment [5,6] . An increasing number of paediatric patients with pectus carinatum and their parents choose to be treated with orthopaedic braces due to the advantages such as non-invasiveness, no surgical scar, and low treatment cost; moreover, good outcomes have been achieved [6,7] . However, for some complex chest wall deformities, such as pectus carinatum combined with Harrison sulcus, conservative treatment is often ineffective.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Minimally Invasive Sternal Compression Combined with the Nuss Procedure to Treat Pectus Carinatum Combined with Harrison Sulcus

Shang,

Duan,

Hong

et al. 2024

Preprint

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We aimed to investigate the feasibility of a minimally invasive sternal compression procedure c with Harrison sulcus treated from June 2015 to October 2022. All the patients underwent a minimally invasive sternal compression procedure combined with the Nuss procedure. The surgical conditions and postoperative outcomes of the patients and the satisfaction score of family members were analysed. Overall, the patients had a mean duration of surgery of 179.05 ± 36.01 min, intraoperative blood loss of 10.03 ± 2.77 mL, postoperative hospital stay of 6.89 ± 0.73 days, and postoperative satisfaction score of 89.4 ± 4.6. The incidence of surgical complications was 7.89%. The internal fixation stents were removed in 22 patients, and there was no recurrence during a follow-up 371.4 ± 6.3 days post-stent removal. These results were satisfactory. The use of a minimally invasive sternal compression procedure to treat this condition does not reduce the volume of the thorax after the procedure and results in an aesthetically pleasing incision, less complications, and fast postoperative recovery. Thus, it is a safe and effective method that is worthy of being promoted for clinical application.ombined with the Nuss procedure to treat pectus carinatum combined with Harrison sulcus. We retrospectively analysed the clinical data of 38 paediatric patients with pectus carinatum combined

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Bracing for the Future

Geoffrion

2024

The Annals of Thoracic Surgery

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Ravitch Surgery or Dynamic Compression Bracing for Pectus Carinatum: A Retrospective Cohort Study

Cited by 8 publications

References 26 publications

A new custom-made bivalve brace for pectus carinatum in children and adolescents: preliminary promising experience of 140 patients from a tertiary center

A new custom-made bivalve brace for pectus carinatum in children and adolescents: preliminary promising experience of 140 patients from a tertiary center

Effectiveness of Minimally Invasive Sternal Compression Combined with the Nuss Procedure to Treat Pectus Carinatum Combined with Harrison Sulcus

Bracing for the Future

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