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.