Outcomes Following Dynamic Compression Bracing for Pectus Carinatum

The Role of Anthropologic Measurements in Pectus Carinatum Brace Treatment Evaluation

“…Although the positive effect of the compressive bracing in PC treatment has been proven for years, there are still no uniform criteria regarding the selection of patients for conservative treatment, the daily duration of wearing the device, the total duration of the therapy and long-term outcomes after the treatment [13], [14]. Better and faster results are seen in younger patients older age and an asymmetrical configuration of the anterior chest wall are factors that can lead to a treatment failure [16], [24].…”

“…This approach has provided the basis for the development of numerous modifications of the compressive bracing therapy. The concept of compressive bracing is based on the relative flexibility of the anterior chest wall in children, which allows the remodelling of the sternum and adjacent ribs through an external compression [14]. It has been shown that a conservative approach (as opposed to surgical treatment) does not impair respiratory functions [10], [15].…”

“…It has been shown that a conservative approach (as opposed to surgical treatment) does not impair respiratory functions [10], [15]. In the last two decades, a gradual shift from different types of surgical correction to a non-operative solution has been observed [14]. Nowadays, the compressive brace treatment of flexible PC is progressively becoming the first-line treatment option [15], [16].…”

Successful Brace Treatment of Pectus Carinatum in Osteogenesis Imperfecta Using the Dynamic Compression System

“…The brace is adjusted to a standard pressure of treatment < 2.5 psi, to minimize skin complications, and maximize brace comfort. 3 The patient is instructed to wear the brace 23 hours per day, removing the brace for sports, bathing, or swimming. PC correction is determined by the patient and provider's subjective assessment of the chest's appearance and neutral sternal position, combined with a PIC of < 1.0 psi.…”

“…Once correction has been achieved, the brace is worn as a “retainer” to maintain sternal position for shorter durations of time until skeletal maturity has been reached. 2 3 The median duration of therapy until correction is 5.5 months (range: 3.5–10 months). 3…”