Compression brace for secondary pectus carinatum in infants and toddlers undergoing cardiac surgery with midline
Hayato Konishi1, Kenta Fujiwara2, Sayaka Okazaki1
1Department of Thoracic and Cardiovascular Surgery, Osaka Medical and Pharmaceutical University, 2-7 Daigaku-machi, Takatsuki, Osaka, 569-0801, Japan.
Insights
A new compression brace shows promise in correcting secondary pectus carinatum in young patients post-cardiac surgery. Factors like male sex and complex procedures influenced brace effectiveness, with no adverse events reported.
Area of Science:
- Pediatric Cardiac Surgery
- Thoracic Deformity Correction
Background:
- Secondary pectus carinatum is a chest wall deformity that can occur after cardiac surgery involving midline sternotomy.
- Effective non-surgical interventions are needed to manage this complication in infants and toddlers.
Purpose of the Study:
- To evaluate the efficacy of a novel compression brace in improving secondary pectus carinatum in pediatric patients.
- To identify factors influencing the response to compression brace therapy.
Main Methods:
- Retrospective analysis of 51 infants and toddlers who underwent cardiac surgery with midline sternotomy.
- Chest X-rays were used to measure sternal protrusion angle; patients were grouped based on response to the brace.
- Logistic regression analysis identified factors associated with brace response.
Main Results:
- 58.8% of patients showed a positive response (Group G) to the compression brace.
- Factors associated with poor response included male sex, severe cardiac anomaly, and complex surgical procedures.
- No adverse events were observed during brace application.
Conclusions:
- The developed compression brace may offer partial improvement for secondary pectus carinatum.
- Further research is needed to confirm the therapeutic value of anterior chest compression for this condition.
Purposes:
This study aimed to retrospectively assess the response to a newly developed compression brace for improving the deformity of the secondary pectus carinatum in infants and toddlers undergoing cardiac surgery with midline sternotomy. Factors affecting the response to the brace were identified.
Methods:
Fifty-one children were enrolled. Severity was expressed as the protrusion angle of the sternum obtained from chest X-ray. The patients were divided into two groups by positive or negative binary residuals of the relationship between the angle at the beginning and its percentage change after wearing the brace. Logistic regression analysis was used to identify the influencing factors.
Results:
Thirty patients (58.8%) showed zero and positive residuals to the relationship (good responders, Group G), whereas 21 patients showed negative residuals (poor responders, Group P). Male sex, severe cardiac anomaly, complex surgical procedure, multiple sternotomy, total duration, and self-discontinuation were associated with poor response to the brace by univariate analysis. The first three factors remained with high odds ratio for poor response by multivariate analysis. No adverse events occurred with the brace.
Conclusion:
Our newly developed compression brace contributed, at least in part, to improve the deformity of the secondary pectus carinatum. Further studies are required to clarify the therapeutic efficacy of anterior chest compression for secondary pectus carinatum.
More Related Videos
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
07:02A Large Animal Model for Pulmonary Hypertension and Right Ventricular Failure: Left Pulmonary Artery Ligation and Progressive Main Pulmonary Artery Banding in Sheep
Published on: July 15, 2021
Related Concept Videos
01:26Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
01:17The Thoracic Cage: Sternum
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
01:27Pneumothorax-II
Clinical Manifestations: