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External Compressive Bracing With Initial Reduction of Pectus Carinatum: Compliance Is the Key.
Stephanie Fraser1, Leanne Harling2, Akshay Patel1
1Department of Thoracic Surgery, St George's Hospital NHS Foundation Trust, London, United Kingdom.
This study shows that pectus carinatum bracing effectively reduces chest deformities and improves patient confidence. The treatment led to significant reductions in anxiety and depression, enhancing overall quality of life.
Area of Science:
- Thoracic surgery
- Orthopedics
- Pediatric surgery
Background:
- Pectus carinatum is a chest wall deformity.
- Flexible pectus carinatum requires effective treatment options.
Purpose of the Study:
- To evaluate the impact of manipulation and compressive bracing on quality of life in patients with flexible pectus carinatum.
- To assess the effectiveness of a tailored bracing program.
Main Methods:
- 249 patients with pectus carinatum underwent outpatient manipulation.
- Patients followed a continuous external compressive bracing schedule without progressive tightening.
Main Results:
- Successful sustained reduction of deformity in 244 patients (98% concordance, 94% satisfaction).
- Significant reduction in anxiety and depression (P < .001).
- Improved body satisfaction (P < .001) with mild skin irritation in 18%.
Conclusions:
- Manipulation and non-tightening compressive bracing achieve high success rates and patient concordance.
- The treatment improves confidence and reduces psychological morbidity.
- This approach is effective for managing flexible pectus carinatum.
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