Vacuum bell treatment of pectus excavatum: An early North American experience
| Autor: | Robert Baird, Etienne St-Louis, Jade Goyette, Kathleen Montpetit, Marcos Bettolli, Jean-Martin Laberge, Jingru Miao, Sherif Emil |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Canada Orthotic Devices medicine.medical_specialty Adolescent Vacuum Conservative Treatment Young Adult 03 medical and health sciences 0302 clinical medicine Pectus excavatum 030225 pediatrics medicine Humans Registries Child Surgical treatment Retrospective Studies business.industry Level iv General Medicine medicine.disease Surgery Conservative treatment Treatment Outcome Funnel Chest 030220 oncology & carcinogenesis Treatment study Pediatrics Perinatology and Child Health Female Haller index business Follow-Up Studies |
| Zdroj: | Journal of Pediatric Surgery. 54:194-199 |
| ISSN: | 0022-3468 |
| Popis: | Conservative treatment of pectus excavatum with a vacuum bell device may be an attractive alternative to surgical repair. We describe an early North American experience with this device.Prospectively maintained chest wall clinic registries from two institutions were reviewed to identify pectus excavatum patients ≤21 years treated with the vacuum bell from 2013 to 2017. Multivariate linear regression was used to compare mean improvements in deformity-depth and Haller Index between groups of patients based on age and usage metrics (hours/day and days/week).Thirty-one patients with a median age of 14 years received treatment with the device. Mean follow-up duration was 18 months. Median depth and Haller Index at treatment onset were 2.3 cm and 3.9, respectively. Improvements in deformity-depth were superior with device usage2 h/day (p 0.01) and daily use (p 0.01). After adjusting for compliance, younger age of treatment onset was associated with greater improvement in Haller Index but not deformity depth.Our prospective early North American experience found the vacuum bell to be a potential alternative to surgical treatment for pectus excavatum. Longer usage periods in a daily frequency are associated with best results.Treatment study; case series with no comparison group.Level IV. |
| Databáze: | OpenAIRE |
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