Finding suitable candidates for vacuum bell therapy in pectus excavatum patients

Yi, Eunjue; Lee, Kwanghyoung; Jung, Yong-Woo; Chung, Jae Ho; Kim, Han Sung; Lee, Sungho; Ahn, Hyonggin

doi:10.1038/s41598-021-02250-x

Cited by 8 publications

(4 citation statements)

References 16 publications

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“…The result is considered excellent -complete repair-when chest sinking is ≤ 5 mm (9) . For result assessment purposes, some authors opt for chest X-rays or CT-scans to calculate thoracic index, in spite of radiation (18,19) .…”

Section: Discussionmentioning

confidence: 99%

Treatment with pectus excavatum with vacuum bell during puberty

Arias¹,

Veiras²,

Iglesias³

et al. 2023

Cir Pediatr

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Objective. To assess the efficacy of the vacuum bell during puberty, according to the daily hours of use and treatment duration.Materials and methods. A retrospective analysis of patients treated with vacuum bell during puberty in the 2010-2021 period was carried out. Several variables were collected, including baseline and final sinking, repaired sinking expressed in cm and as a percentage from baseline sinking, daily hours of use, treatment duration, and complications. Patients were categorized into groups according to the daily hours of use (≤ 3 hours; 4-5 hours; ≥ 6 hours) and treatment duration (6-12 months; 13-24 months; 25-36 months; > 36 months), and they were statistically analyzed.Results. A total of 50 patients -41 male and 9 female-were studied, with a mean age of 12.5 years (range: 10-14 years). No significant differences among groups were observed in terms of baseline sinking, thoracic index, and final sinking. Repaired sinking did increase with the daily hours of use, with significant differences. Complications were mild. 3 patients withdrew from follow-up, and 5 out of the 25 patients who completed treatment achieved a good repair.Conclusions. To increase treatment efficacy, the vacuum bell should be used for 6 hours/day during puberty. This method is well-tolerated, causes mild complications, and may be an alternative to surgery in some cases.

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Section: Discussionmentioning

confidence: 99%

Treatment with pectus excavatum with vacuum bell during puberty

Arias¹,

Veiras²,

Iglesias³

et al. 2023

Cir Pediatr

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“…El hundimiento torácico es el parámetro habitualmente utilizado para establecer el grado de mejoría o respuesta al tratamiento, de modo que se considera un resultado excelente o corrección completa cuando se alcanza un hundimiento torácico ≤ 5 mm (9) . Para valorar el resultado algunos autores realizan radiografías torácicas o TC con cálculo de índice torácico, aunque tiene el inconveniente de la radiación (18,19) .…”

Section: Variableunclassified

Tratamiento del pectus excavatum con campana de succión durante la pubertad

Arias¹,

Veiras²,

Iglesias³

et al. 2023

Cir Pediatr

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pubertad, según las horas diarias de uso y la duración del tratamiento. Material y métodos. Se evaluaron retrospectivamente los pacientes tratados con campana de succión durante la pubertad en el periodo 2010-2021. Se recogieron diferentes variables, incluyendo el hundimiento inicial y final, el hundimiento corregido expresado en centímetros y en porcentaje con respecto al hundimiento inicial, las horas diarias de uso, la duración del tratamiento y las complicaciones. Se categorizaron los pacientes en grupos según las horas diarias de uso (≤ 3 horas; 4-5 horas; ≥ 6 horas) y la duración del tratamiento (6-12 meses; 13-24 meses; 25-36 meses; > 36 meses), y se analizaron estadísticamente.Resultados. Se estudiaron un total de 50 pacientes; 41 varones y 9 mujeres, con una edad media de 12,5 años (rango 10-14 años). No se observaron diferencias significativas entre los diferentes grupos en relación con el hundimiento inicial, el índice torácico y el hundimiento final. El hundimiento corregido aumentó en relación con las horas diarias de uso, con diferencias significativas. Las complicaciones fueron leves, 3 pacientes abandonaron el seguimiento y 5 pacientes de los 25 que finalizaron el tratamiento, alcanzaron una buena corrección.Conclusiones. Para aumentar la eficacia del tratamiento, el tiempo de uso de la campana de succión durante la pubertad debería alcanzar las 6 horas diarias. Este método es bien tolerado, presenta leves complicaciones y puede ser una alternativa a la cirugía en algunos casos.

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“…(a) Surgical treatment of PE with bar insertion; (b) surgical treatment of PE with silicone implant; (c) non-surgical treatment of PE with Vacuum Bell (Yi et al , 2021); (d) non-surgical treatment of PC with compressive brace (Jung et al , 2012); (e) osteotomy for the correction of PA…”

Section: Figurementioning

confidence: 99%

Assessment and treatment of pectus deformities: a review of reverse engineering and 3D printing techniques

Mussi

Servi

Facchini

et al. 2022

RPJ

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Purpose Among thoracic malformations, pectus deformities have the highest incidence and can result in a wide range of severe and mild clinical manifestations. Recently, the treatment of pectus deformities is shifting from traditional approaches toward customized solutions. This occurs by leveraging innovative rapid prototyping tools that allow for the design and fabrication of patient-specific treatments and medical devices. This paper aims to provide a comprehensive view of the growing literature in this area to analyze the progress made in this direction. Design/methodology/approach The search was performed on major search engines through keywords inherent to reverse engineering (RE) and additive manufacturing (AM) technologies applied to pectus deformities and related treatments, selecting 54 papers. These were analyzed according to the addressed pathology, the hardware and software tools used and/or implemented and their integration within the clinical pathway. Findings First, the analysis led to analyze and divide the papers according to how RE and AM technologies are applied for surgical and non-surgical treatments, pathological assessment and preoperative simulation and planning. Second, all papers were considered within the typical rapid prototyping framework consisting of the three phases of three-dimensional (3D) scanning, 3D modelling and 3D printing. Originality/value To the best of the authors’ knowledge, to date, no survey has provided a comprehensive view of innovative and personalized treatment strategies for thoracic malformations; the present work fills this gap, allowing researchers in this field to have access to the most promising findings on the treatment and evaluation of pathology.

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Finding suitable candidates for vacuum bell therapy in pectus excavatum patients

Cited by 8 publications

References 16 publications

Treatment with pectus excavatum with vacuum bell during puberty

Treatment with pectus excavatum with vacuum bell during puberty

Tratamiento del pectus excavatum con campana de succión durante la pubertad

Assessment and treatment of pectus deformities: a review of reverse engineering and 3D printing techniques

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