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Changes in self-image after pectus carinatum brace treatment
Beth A Orrick1, Amy L Pierce1, Susan F McElroy2
1Center for Pectus Excavatum and Carinatum, Department of Pediatric Surgery, Children's Mercy Hospital, Kansas City, MO, United States.
Non-surgical correction of pectus carinatum (PC) using a dynamic compressor brace significantly improved body self-image in children. This treatment addresses chest wall deformities and enhances patient confidence.
Area of Science:
- Pediatric Surgery
- Orthopedics
- Psychology
Background:
- Pectus carinatum (PC) is a chest wall deformity causing anterior protrusion.
- PC often leads to psychological distress, including poor body image and low self-esteem, despite minimal physical symptoms.
Purpose of the Study:
- To evaluate the impact of non-surgical PC correction on patients' self-image.
- To investigate the relationship between brace treatment and psychological well-being in children with PC.
Main Methods:
- Descriptive, pre-post survey design.
- Utilized the modified Pectus Excavatum Evaluation Questionnaire (mPEEQ) for self-image assessment.
- Included 97 children (ages 11 to <18) undergoing treatment with a dynamic compressor system.
Main Results:
- A statistically significant improvement (p<0.001) in body self-image was observed post-treatment.
- 41 subjects completed both pre- and post-treatment surveys.
- Mean age of participants was 14 years, with 80% being male.
Conclusions:
- Non-surgical correction of PC with the dynamic compressor system effectively enhances children's self-image.
- This treatment offers a viable option for improving the quality of life for children with pectus carinatum.
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