Sjoerd A. de Beer, MD, Martin Gritter, BS, Justin R

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Presentation transcript:

The Dynamic Compression Brace for Pectus Carinatum: Intermediate Results in 286 Patients Sjoerd A. de Beer, MD, Martin Gritter, BS, Justin R. de Jong, MD, PhD, Ernst L.W. van Heurn, MD, PhD The Annals of Thoracic Surgery Volume 103, Issue 6, Pages 1742-1749 (June 2017) DOI: 10.1016/j.athoracsur.2016.12.019 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Measurement of pressure of initial correction (PIC) with the measuring device. (Photo courtesy of Dr Martinez-Ferro, reprinted from [24] by permission of Lippincott Williams & Wilkins.) The Annals of Thoracic Surgery 2017 103, 1742-1749DOI: (10.1016/j.athoracsur.2016.12.019) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Dynamic compression brace with docking holes to measure the pressure of treatment with the measuring device. (Photo courtesy of Dr Martinez-Ferro, reprinted from [24] by permission of Lippincott Williams & Wilkins.) The Annals of Thoracic Surgery 2017 103, 1742-1749DOI: (10.1016/j.athoracsur.2016.12.019) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Diagnostic and therapeutic flowchart. (CT = computed tomography; MRI = magnetic resonance imaging; PIC = pressure of initial correction; psi = pounds per square inch.) The Annals of Thoracic Surgery 2017 103, 1742-1749DOI: (10.1016/j.athoracsur.2016.12.019) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Origins of referrals. The Annals of Thoracic Surgery 2017 103, 1742-1749DOI: (10.1016/j.athoracsur.2016.12.019) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Kaplan-Meier curve for completion of FMF brace therapy in our center (n = 78 patients). The Annals of Thoracic Surgery 2017 103, 1742-1749DOI: (10.1016/j.athoracsur.2016.12.019) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 (A) before and (B) after views of a 14-year-old patient with symmetric chondrogladiolar pectus carinatum and a pressure of initial correction of 5.0 psi, who finished treatment after 15 months. The Annals of Thoracic Surgery 2017 103, 1742-1749DOI: (10.1016/j.athoracsur.2016.12.019) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 7 Patient with an initially high pressure of initial correction (12.5 psi) (A, B) before treatment who showed satisfactory results (C, D) after treatment for a total of 23 months. The Annals of Thoracic Surgery 2017 103, 1742-1749DOI: (10.1016/j.athoracsur.2016.12.019) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions