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Long-Term Results of Compressive Brace Therapy for Pectus Carinatum

 Duk Hwan Moon  ;  Min Kyun Kang  ;  Hye Sun Lee  ;  Sungsoo Lee 
 Thoracic and Cardiovascular Surgeon, Vol.67(1) : 67-72, 2019 
Journal Title
 Thoracic and Cardiovascular Surgeon 
Issue Date
Adolescent ; Adult ; Braces* ; Child ; Child, Preschool ; Equipment Design ; Female ; Humans ; Male ; Orthopedic Procedures/adverse effects ; Orthopedic Procedures/instrumentation* ; Patient Compliance ; Patient Satisfaction ; Pectus Carinatum/diagnosis ; Pectus Carinatum/physiopathology ; Pectus Carinatum/therapy* ; Retrospective Studies ; Time Factors ; Treatment Outcome ; Young Adult
BACKGROUND: Pectus carinatum (PC) is one of the most common types of congenital chest wall deformity. Recently, noninvasive compressive brace therapy has been more frequently used than invasive surgical correction to treat PC. Hence, the purpose of this study was to determine the long-term outcome of compressive brace therapy. METHODS: We retrospectively reviewed patients with PC who underwent compressive brace therapy between January 2014 and December 2016. All patients underwent a 2-week compression period, in which braces were worn for 20 hours per day, followed by a 6-month maintenance period, in which braces were worn for 12 hours per day. Patient satisfaction was investigated via telephone survey. RESULTS: A total of 320 patients were included in this study. The average age was 13 years, and 280 were males (87.5%). The median follow-up period was 42 months (13-68). Good compliance was observed in 286 patients (89.4%; compliance group). In this group, the initial Haller index significantly increased from 2.20 ± 0.31 to 2.59 ± 0.38 after the 6-month therapy period (p = 0.001). After the 6-month period, 255 patients (89.1%) and 31 patients (12.1%) in the compliance group were very satisfied and satisfied, respectively. Satisfaction at the last follow-up via telephone survey was very satisfied in 250 patients (87.4%) and satisfied in 36 (12.6%). In the compliance group, no patient needed compressive braces again after the therapy period. CONCLUSION: Given the findings presented in this study, compressive brace therapy appears to be a relatively simple and safe method with good long-term outcome in treating patients with PC.
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1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
Yonsei Authors
문덕환(Moon, Duk Hwan)
이성수(Lee, Sung Soo) ORCID logo https://orcid.org/0000-0001-8998-9510
이혜선(Lee, Hye Sun) ORCID logo https://orcid.org/0000-0001-6328-6948
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