title: Brace compression for treatment of pectus carinatum.
abstract: BACKGROUND
  Surgery has been the classical treatment of pectus carinatum (PC), though compressive orthotic braces have shown successful results in recent years. We propose a non-operative approach using a lightweight, patient-controlled dynamic chest-bracing device.
  
  
  METHODS
  Eighteen patients with PC were treated between July 2008 and June 2009. The treatment involved fitting of the brace, which was worn for at least 20 hours per day for 6 months. Their degree of satisfaction (1, no correction; 4, remarkable correction) was measured at 12 months after the initiation of the treatment.
  
  
  RESULTS
  Thirteen (72.2%) patients completed the treatment (mean time, 4.9±1.4 months). In patients who completed the treatment, the mean overall satisfaction score was 3.73±0.39. The mean satisfaction score was 4, and there was no recurrence of pectus carinatum in patients who underwent the treatment for at least 6 months. Minimal recurrence of pectus carinatum after removal of the compressive brace occurred in 5 (38.5%) patients who stopped wearing the compressive brace at 4 months.
  
  
  CONCLUSIONS
  Compressive bracing results in a significant improvement in PC appearance in patients with an immature skeleton. However, patient compliance and diligent follow-up appear to be paramount for the success of this method of treatment. We currently offer this approach as a first-line treatment for PC.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Korea.
authors.forename: Joonho
authors.initials: J
authors.lastname: Jung
authors.forename: Sang Ho
authors.initials: SH
authors.lastname: Chung
authors.forename: Jin Kyoung
authors.initials: JK
authors.lastname: Cho
authors.forename: Soo-Jin
authors.initials: SJ
authors.lastname: Park
authors.forename: Ho
authors.initials: H
authors.lastname: Choi
authors.forename: Sungsoo
authors.initials: S
authors.lastname: Lee
keywords: Chest wall; Device; Pectus carinatum