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Vacuum Bell Therapy for Pectus Excavatum: Long-term Experience at a Single Center.
Shelby Aughtman1, Charles Hehman1, Letitia Janssen2
1Macon and Joan Brock Virginia Health Sciences at Old Dominion University, Department of Surgery, P.O. Box 1980, Norfolk, VA, 23501, United States.
Journal of Pediatric Surgery
|November 2, 2024
Summary
Vacuum Bell Therapy (VBT) offers excellent correction for pectus excavatum in a small patient group. Younger patients with milder chest wall defects and greater flexibility achieve better results with VBT.
Area of Science:
- Thoracic surgery
- Pediatric surgery
- Medical devices
Background:
- Pectus excavatum is a common congenital chest wall deformity.
- Vacuum Bell Therapy (VBT) is a non-surgical treatment option.
- Identifying factors for successful VBT is crucial for patient selection.
Purpose of the Study:
- To identify predictors of excellent correction in pectus excavatum patients treated with VBT.
- To analyze patient demographics and clinical characteristics associated with successful VBT outcomes.
Main Methods:
- Retrospective chart review of 431 patients undergoing VBT from 2012-2023.
- 278 patients with complete data were analyzed.
- Excellent correction defined as complete resolution or >100% improvement in chest depth.
Main Results:
- 11% (31/278) of patients achieved excellent correction.
- Younger age (8-12.9 years), initial chest depth <1.5 cm, and chest wall flexibility predicted excellent outcomes.
- Only 15.5% required subsequent surgery, none from the excellent correction group.
Conclusions:
- Excellent pectus excavatum correction with VBT is achievable in a select group of patients.
- Early intervention in younger patients with mild, flexible defects improves VBT success rates.
- These findings aid in selecting patients likely to benefit from non-surgical VBT.
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