Measuring the impact of brace intervention on pediatric pectus carinatum using white light scanning

Port, Elissa; Hebal, Ferdynand; Hunter, Catherine J.; Malas, Bryan S.; Reynolds, Marleta

doi:10.1016/j.jpedsurg.2018.08.016

Cited by 19 publications

(11 citation statements)

References 9 publications

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“…LED 3D scanners provide a fast, inexpensive and ionizing radiation-free way to obtain a three-dimensional view of anterior chest wall deformities. They are also used in diagnostics, as well as in the longitudinal monitoring of the treatment progress [29].…”

Section: Discussionmentioning

confidence: 99%

The Role of Anthropologic Measurements in Pectus Carinatum Brace Treatment Evaluation

Omaník

Kozlíková

Daumová

et al. 2022

Measurement Science Review

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Objectives: Brace treatment in children with pectus carinatum has become the method of choice during the last decade. The authors evaluate the role of anthropometric measurements in diagnostic and treatment processes. Methods: A prospective study, analysing a compressive brace treatment for pectus carinatum, performed between January 2018 and September 2020. Demographic data, anthropometric dimensions and indexes of the chest, data connected to an orthosis usage, as well as ongoing treatment outcomes were analysed. Results: Forty-seven consecutive patients aged between 10 to 18 years with pectus carinatum were prescribed a compressive brace. Thirtynine of them (83 %) reached clinically positive results while wearing the orthosis for 6 ± 3 months. An improvement in the sagittal chest diameter was 0.5 cm – 2.8 cm (mean 1.0 cm ± 0.5 cm) and an improvement of the Thoracic Index was 0.8 % – 25.1 % (6.4 % ± 4.5 %) by using the brace on average for (6 ± 2) hours a day. Conclusion: Clinical anthropometric measurements can evaluate the dimensions of chest wall and treatment progress in patients with pectus carinatum precisely and thus replace the need for more complex examinations requiring X-rays.

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Section: Discussionmentioning

confidence: 99%

The Role of Anthropologic Measurements in Pectus Carinatum Brace Treatment Evaluation

Omaník

Kozlíková

Daumová

et al. 2022

Measurement Science Review

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“…Some recent studies have indicated the possibility of alternatives to radiographic tools for the evaluation of patients with chest wall deformities [ 10 - 13 ]. Port et al [ 12 ] reported the measurement and evaluation of the treatment outcome using white light scanning. Using a portable device, they obtained pre- and post-intervention images.…”

Section: Discussionmentioning

confidence: 99%

“…Using a portable device, they obtained pre- and post-intervention images. The results they provided indicate that white light scanning may be a promising alternative to measure the severity of PC [ 12 ]. Wong et al [ 13 ] used a 3D body scanner to evaluate the efficacy of compressive orthotic bracing.…”

Section: Discussionmentioning

confidence: 99%

Usefulness of 3-Dimensional Body Surface Scanning in the Evaluation of Patients with Pectus Carinatum

Song

Kim

Moon

et al. 2020

Korean J Thorac Cardiovasc Surg

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Background: Radiographic modalities have been commonly used to evaluate pectus carinatum (PC), and compressive orthotic bracing is the most widely accepted treatment method. The aim of this study was to determine the efficacy of 3-dimensional (3D) body surface scanning as an alternative modality for the evaluation of PC. Methods: The medical records of 63 patients with PC who were treated with compressive orthotic bracing therapy between July 2017 and February 2019 were retrospectively analyzed. Using both 2-view chest radiography (posteroanterior and lateral view) and 3D body scanning, the height of maximal protrusion of the chest wall was measured both before and after 2 weeks of bracing therapy. The difference between the pre-and post-treatment measurements was calculated for both modalities, and these differences were compared and analyzed. Results: Based on the comparison between the pre-and post-treatment radiographs, bracing therapy produced favorable outcomes in all patients (p<0.001). The measurements obtained via 3D scanning were strongly correlated with those obtained via chest radiography (r=0.60). Conclusion: Based on the findings of this study, 3D body surface scanning appears to be an effective, radiation-free, and simple method for the post-treatment follow-up evaluation of PC, and thus can be considered an alternative to radiography.

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“…Port et al employed this modality to measure the severity of pre-and postbracing intervention of PC deformities and were able to quantify the impact of bracing and measure changes over time. 19 Alternate methods have utilized handheld structured light scanners which allow the creation of 3D models of patients with chest wall deformities. Measurements were recorded using this technique in 60 patients with anterior chest wall deformities and interuser reliability was calculated at near 100%.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Compressive External Bracing in Patients with Flexible Pectus Carinatum Deformity: A Review

Hunt

Patel

2019

Thorac cardiovasc Surg

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There has been a growing interest in the nonoperative treatment of chest wall deformities over the last few decades; with the advent of external compressive orthotics, similar outcomes have been reported compared with surgical intervention. There have been fewer major complications reported with dynamic compression bracing on the chest wall; however, the Achilles heel of this approach still lies with treatment tolerability and compliance. A Medline literature search was undertaken to evaluate the evidence concerning the techniques, modifications, and outcomes associated with external compressive bracing in the setting of pectus carinatum. Sixteen articles were integrated after literature review and data were collected on methods of assessing pectus carinatum (degree of severity as well as type), patient selection protocol (i.e., suitability for external compressive bracing), the bracing protocol itself, duration of treatment, metrics used to assess outcome, and success, compliance, and dropout rate, and length of long-term follow-up. Compressive external bracing appears to be a safe and well tolerated nonsurgical treatment option for young patients with flexible pectus carinatum deformities. However, there is still a need for robust level I randomized data from multiple centers with a clearly standardized bracing protocol, objective measurement of outcomes, and recording of results at the end of the bracing treatment program in sufficiently powered sample sizes over a significant follow-up period.

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Measuring the impact of brace intervention on pediatric pectus carinatum using white light scanning

Cited by 19 publications

References 9 publications

The Role of Anthropologic Measurements in Pectus Carinatum Brace Treatment Evaluation

The Role of Anthropologic Measurements in Pectus Carinatum Brace Treatment Evaluation

Usefulness of 3-Dimensional Body Surface Scanning in the Evaluation of Patients with Pectus Carinatum

Effectiveness of Compressive External Bracing in Patients with Flexible Pectus Carinatum Deformity: A Review

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