Fraser, S; Harling, L; Patel, A; Richards, T; Hunt, I
(2020)
External Compressive Bracing with Initial Reduction of Pectus Carinatum: Compliance is the Key.
Ann Thorac Surg, 109 (2).
pp. 413-419.
ISSN 1552-6259
https://doi.org/10.1016/j.athoracsur.2019.08.026
SGUL Authors: Hunt, Ian
Abstract
BACKGROUND: To assess the impact of manipulation and a tailored programme for compressive bracing on the quality of life of patients with flexible pectus carinatum METHODS: 249 sequential patients attending clinic for assessment of pectus carinatum deformities underwent out-patient manipulation and then followed a prescribed schedule of continuous external compressive bracing but without significant progressive tightening. RESULTS: There was successful sustained reduction of the deformity in 244 patients with high reported rates of concordance (98%) and satisfaction (94%). Patients experienced a reduction in symptoms of anxiety and depression (p<0.0001) and had improved body satisfaction (p<0.0001). Mild skin irritation occurred in 18% of patients (n=44) and there were two severe cases of skin irritation, one of which resulted in abandonment of bracing. CONCLUSIONS: Manipulation and non-tightening compressive bracing was associated with complete concordance, high levels of successful bracing, improved confidence and reduced psychological morbidity.
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