"Pectus carinatum"

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                            1
                            2023Norwegian Institute of Public Health
                            Brace compression for treatment of pectus carinatum: a rapid health technology assessment NIPH's website uses cookies. Read more about our use of cookies in our privacy policy.CloseHopp til innholdSearch for:SøkMenuInfectious diseases & VaccinesMental & Physical healthEnvironment & LifestyleHealth in NorwayQuality & KnowledgeResearch & Access to dataAbout NIPHCloseHEALTH TECHNOLOGY ASSESSMENTBrace compression for treatment of pectus carinatum: a rapid health technology assessmentPublished 15.05.2023The Norwegian Institute of Public Health has conducted a rapid health technology assessment about brace compression for treatment of pectus carinatum, often referred to as “bird chest”. Les på norsk Share/tip Print Get alerts about changes Downloadable as PDF. In Norwegian. Key messages
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                            2022SHTG Advice Statements
                            Chest wall bracing for children and young people with pectus carinatum SHTG Assessment | 1 SHTG Assessment Number 01 February 2022 In response to an enquiry from the Scottish National Chest Wall Service Chest wall bracing for children and young people with pectus carinatum What were we asked to look at? The Scottish Health Technologies Group (SHTG) was asked to evaluate the clinical effectiveness, cost effectiveness, safety and patient experience of orthotic bracing in people who have pectus carinatum (sometimes known as pigeon chest). Why is this important? The primary concern associated with pectus carinatum often relates to its physical appearance, and the potential impact of this on a child or young person’s quality of life and mental wellbeing. Less commonly, physical health issues
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                            3
                            2023PLoS ONE
                            Modeling of the chest wall response to prolonged bracing in pectus carinatum. Pectus carinatum is a chest wall deformity that is often treated through the wearing of an external brace. The treatment of the deformity could benefit from a greater understanding of chest wall characteristics under prolonged loading. These characteristics are difficult to model directly but empirical studies can significance in the amount of pressure and time to the changes in the chest wall response. Initial deformity severity is also significant in changes to the deformity. The statistical models predict general trends in pectus carinatum brace treatment and can assist in creating treatment plans, motivating patient compliance, and can inform the design of future treatment systems.
                            4
                            2024Journal of Pediatric Surgery
                            Outcomes From a Nurse Practitioner Led Dynamic Compression System Bracing Program for Pectus Carinatum. Dynamic compression system (DCS) is often effective at treating pectus carinatum (PC). However, some patients will fail therapy. This study reports outcomes from a nurse-practitioner led bracing program, and evaluates what factors are predictive of successful therapy. We performed
                            5
                            2024Journal of Pediatric Surgery
                            Improving Quality of Life With Dynamic Compression Bracing in Patients With Pectus Carinatum. Patients with pectus carinatum have lower quality of life and self-esteem than their peers. We assessed the impact of dynamic compression system bracing on quality of life in patients with pectus carinatum. We conducted a prospective cohort study on patients aged 10-21 years. We assessed quality of life using the Child Health Questionnaire-87, the State-Trait Anxiety Inventory-6, the World Health Organization Quality of Life-BREF, the 36-Item Short Form Survey, and the Single-Step Questionnaire adapted for pectus carinatum. Between March 2013 and March 2016, 225 patients treated with dynamic compression system bracing were included. Patients showed improvements across the overall scores of the 36
                            6
                            2022Journal of Pediatric Surgery
                            Changes in self-image after pectus carinatum brace treatment. Pectus carinatum (PC) is a chest wall deformity resulting in anterior protrusion of the chest. PC does not typically result in significant physical or cardiopulmonary symptoms, but patients with this condition can experience a disturbed body image, lower self-esteem and reduced quality of life.  The purpose of this study
                            7
                            2022Journal of Pediatric Surgery
                            Dynamic compression therapy for pectus carinatum in children and adolescents: Factors for success. Pectus carinatum (PC) is a congenital chest wall deformity. In childhood, it is increasingly treated with dynamic compression therapy. Factors for success for dynamic brace therapy are relatively unknown. Between 2013 and 2020, 740 patients treated with the Dynamic Compression System (DCS), were
                            8
                            2022Journal of Pediatric Surgery
                            Remote treatment of pectus carinatum (Telepectus) during the COVID-19 pandemic. To report telemedicine's feasibility and satisfaction rates for treating patients with pectus carinatum using a dynamic compressor system. We analyzed treatment adherence in comparison with the previous, non-pandemic year. Retrospective analysis including patients with pectus carinatum under treatment with a dynamic -nine patients answered the satisfaction survey. All of them solved their doubts through telemedicine. Overall, 95% found telemedicine comfortable. Of note, those with a lower income evidenced the highest intention in continuing with telemedicine. We demonstrated the feasibility of remote care of patients with pectus carinatum using a dynamic compressor system with a similar frequency of consultations
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                            2022Annals of Thoracic Surgery
                            Ravitch surgery or dynamic compression bracing for pectus carinatum: a retrospective cohort study. Pectus carinatum is a pediatric condition which can be treated by dynamic compression system (DCS) bracing or surgery. Several publications concerning DCS-bracing or surgery are published, however without comparing both treatments. Over a 10 year period 738 patients with pectus carinatum were was performed in two patients. DCS-bracing should be the treatment of choice in patients with pectus carinatum because its non-invasiveness, good results and a lower complication rate compared to surgery. Besides pressure of initial correction, motivation is an important factor influencing outcomes and compliance remains a major challenge in treating pectus carinatum using DCS-bracing. Bracing patients before
                            10
                            Impact of surgical treatment of pectus carinatum on cardiopulmonary function: a prospective study. The frequency of sternochondroplasty in cases of pectus carinatum (PC) has increased due to greater surgeon experience and modified surgical techniques. PC deformity does not usually cause cardiopulmonary malfunction or impairment. However, whether cardiopulmonary function changes after surgical
                            11
                            A Comparative Study on Short-Term Effects of Compression Orthosis and Exercises in the Treatment of Pectus Carinatum: A Randomized Controlled Pilot Feasibility Trial.  Pectus carinatum (PC) is a congenital chest wall deformity which is characterized by the protrusion of the sternum and costal cartilages. Although orthotic and exercise therapies are commonly offered by physicians for PC treatment
                            12
                            2020Journal of Pediatric Surgery
                            Initial reduction of flexible pectus carinatum with outpatient manipulation as an adjunct to external compressive bracing: technique and early outcomes at 12 weeks. Our aim was to assess whether initial reduction with outpatient soft-tissue manipulation of flexible pectus carinatum deformity prior to external compressive bracing was associated with improved compliance and patient satisfaction
                            13
                            Does physiotherapy applied in conjunction with compression brace treatment in patients with pectus carinatum have efficacy? A preliminary randomized-controlled study. Non-invasive treatment of pectus carinatum (PC) deformity includes the use of a compression brace and exercises. In this study, we aimed to examine the effect of a physiotherapy protocol applied as adjunct to compression brace
                            14
                            2019Journal of Pediatric Surgery
                            Development and validation of the Pectus Carinatum Body Image Quality of Life (PeCBI-QOL) questionnaire. While body image disturbances and quality of life in persons with pectus excavatum (PE) have been well documented, very little has been done to systematically measure and document the same in patients with pectus carinatum (PC). Because of this, the current study aimed to develop and validate in overall PeCBI-QOL score. We demonstrate, in this study, that body image and related quality of life can be reliably and validly assessed with the PeCBI-QOL, which has implications for more comprehensively documenting the negative psychological and functional consequences of pectus carinatum. Study of diagnostic test/III.
                            15
                            2019Annals of Thoracic Surgery
                            External Compressive Bracing with Initial Reduction of Pectus Carinatum: Compliance is the Key. To assess the impact of manipulation and a tailored program for compressive bracing on the quality of life of patients with flexible pectus carinatum. Two hundred forty-nine sequential patients attending a clinic for assessment of pectus carinatum deformities underwent outpatient manipulation
                            16
                            2018Journal of Pediatric Surgery
                            Measuring the impact of brace intervention on pediatric pectus carinatum using white light scanning. Evaluation of Pectus Carinatum (PC) deformity in patients undergoing bracing is limited to subjective assessment of the chest through physical exam and photography. White Light Scanning (WLS) is a novel 3D imaging modality and offers an objective alternative that is quick, inexpensive, and safe
                            17
                            2018Annals of Thoracic Surgery
                            Minimally Invasive Repair of Pectus Carinatum. The second most common deformity of the anterior chest wall, pectus carinatum, is a diverse deformity that has been largely managed using open techniques. This study reviews clinical experience with a newly designed bar for minimally invasive repair of pectus carinatum. We reviewed the records of all patients recorded in our Chest Wall Deformities Clinical Database. Between January 2006 and November 2016, minimally invasive repair of pectus carinatum was performed in 172 patients. All met the criteria of a "compression test" of 10 to 25 kg/cm. The mean age was 17.3 years, and 22.7% had a positive family history of a congenital chest wall deformity. Symmetric and asymmetric deformities were treated. During our study period, we designed 4 different
                            18
                            2018Journal of Pediatric Surgery
                            Bracing of pectus carinatum: A quantitative analysis. Primary treatment of pectus carinatum (PC) is performed with an external brace that compresses the protrusion. Patients are 'prescribed' a brace tightening force. However, no visual guides exist to display this force magnitude. The purpose of this study was to determine the repeatability of patients in applying their prescribed force over
                            19
                            Minimally invasive repair of pectus carinatum by modification of the Abramson technique The minimally invasive pectus carinatum surgery described by Abramson has been performed in many centers. We modified the "sub-muscular tunnel creation" part of the original Abramson technique. To compare the operative time between the original Abramson technique and a lightly modified approach . A retrospective review of 84 patients who underwent minimally invasive repair of pectus carinatum deformity between July 2008 and November 2017 was performed. We applied two different techniques, the original Abramson technique and the modified technique. Sixty-eight patients - 49 (72%) males and 19 (28%) females - underwent minimally invasive repair of a pectus carinatum deformity as described by Abramson
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                            2012Health Technology Assessment (HTA) Database.
                            Review Analysis
                            Appears Promising
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                            Orthotic compression bracing for treatment of pectus carinatum Orthotic compression bracing for treatment of pectus carinatum ..