Artikel
Dynamic compression system: an effective non-operative treatment for pectus carinatum
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Autoren
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Sergio Bruno Sesia
- Universitäts-Kinderspital beider Basel (UKBB), Kinderchirurgie, Basel, Switzerland
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Stefan Holland-Cunz
- Universitäts-Kinderspital beider Basel (UKBB), Kinderchirurgie, Basel, Switzerland
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Frank-Martin Häcker
- Universitäts-Kinderspital beider Basel (UKBB), Kinderchirurgie, Basel, Switzerland
| Veröffentlicht: | 21. April 2016 |
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Gliederung
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Background: Different non-operative treatments are currently available to correct Pectus carinatum (PC).
Objective: To report our single center experience with the Dynamic Compression System (DCS).
Methods: The DCS is a rigid aluminum brace. Through anterior-posterior pressure and lateral expansion of the chest, PC is reshaped into a normal appearance. Patients with chondrogladiolar PC were indicated the non-operative treatment with DCS.
Results: 53 of 68 children (78%) with chondrogladiolar PC were assessed retrospectively: 2 children were corrected by surgery, 12/53 (23%) treated by a conventional orthesis, 11/53 (21%) remained without therapy because of minor PC, and 36/53 (68%) were treated using the DCS. 17/36 (47%) patients are already cured with a good (7/17) to excellent (10/17) cosmetic result after a median treatment period of 9 months (range, 2.5-16 months). The mean daily wearing time of those 17 patients was 9 h (range, 5-18). None abandoned the treatment. There were almost no complications.
Conclusions: Lateral expansion of the chest and the possibility to measure the applied pressure seemed to be the key to DCS´s success. We suggest the DCS as first choice in the treatment of chondrogladiolar PC in children.
Figure 1 [Fig. 1]
