[Surgery in times of crisis: conservative treatment of pectus carinatum by static corset].

Abstract

INTRODUCTION:

Dynamic compression system is the elective treatment for chondrogladiolar pectus carinatum. Nevertheless, its high cost poses a problem for its prescription in places where it is not subsidized. This article analyzes the experience of the Paediatric Plastic Surgery Service at a third grade hospital in the treatment of this deformity with a static compression system.

MATERIALS AND METHODS:

The study presents a descriptive, retrospective analysis of 30 patients with pectus carinatum treated with a static compression system. Furthermore, we describe the protocol of treatment used at our unit, and we analyse the satisfaction with bracing therapy, and its relation to therapeutic compliance.

RESULTS:

The study includes 28 boys and 2 girls. 93% of the patients presented a chondrogladiolar pectus carinatum. At the moment of finishing the study, 11 patients have completed the treatment, 14 still bracing, and 5 were lost in the follow-up. Satisfaction questionnaires were answered by 19 patients.

CONCLUSION:

Bracing therapy with static compression system is the treatment of choice for chondrogladiolar pectus carinatum in our unit, because of its effectiveness and lower price. Quality of life questionnaires show better marks in patients that are in the second phase of treatment.

• Authors: J V Redondo Sedano, M D Delgado Muñoz, M E Martí Carrera, A Gómez Fraile
• Journal: Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica (Cir Pediatr) Vol. 30 Issue 2 Pg. 83-88 (Apr 20 2017) ISSN: 0214-1221 [Print] Spain
• Vernacular Title: Cirugía en tiempos de crisis: tratamiento conservador del pectus carinatum mediante corsé estático.
• PMID: 28857530 (Publication Type: Journal Article)

Topics

• Adolescent
• Braces
• Child
• Child, Preschool
• Conservative Treatment (methods)
• Female
• Follow-Up Studies
• Humans
• Male
• Patient Compliance
• Patient Satisfaction
• Pectus Carinatum (therapy)
• Quality of Life
• Retrospective Studies
• Surveys and Questionnaires
• Treatment Outcome
• Young Adult