Your browser doesn't support javascript.
loading
Vacuum bell therapy for pectus excavatum: a retrospective study.
Lei, Weixuan; Shao, Mengqi; Hu, Yan; Cao, Jieming; Han, Wei; Wang, Ruoyao; Fei, Quanming; Zou, Jian; Yi, Junqi; Cheng, Zheyu; Liu, Wenliang.
Afiliación
  • Lei W; Department of Thoracic Surgery, The Second Xiangya Hospital of Central South University, Changsha, 410000, China.
  • Shao M; Hunan Key Laboratory of Early Diagnosis and Precise Treatment of Lung Cancer, The Second Xiangya Hospital of Central South University, Changsha, China.
  • Hu Y; Department of Thoracic Surgery, The Second Xiangya Hospital of Central South University, Changsha, 410000, China.
  • Cao J; Hunan Key Laboratory of Early Diagnosis and Precise Treatment of Lung Cancer, The Second Xiangya Hospital of Central South University, Changsha, China.
  • Han W; Department of Thoracic Surgery, The Second Xiangya Hospital of Central South University, Changsha, 410000, China.
  • Wang R; Hunan Key Laboratory of Early Diagnosis and Precise Treatment of Lung Cancer, The Second Xiangya Hospital of Central South University, Changsha, China.
  • Fei Q; Department of Thoracic Surgery, The Second Xiangya Hospital of Central South University, Changsha, 410000, China.
  • Zou J; Hunan Key Laboratory of Early Diagnosis and Precise Treatment of Lung Cancer, The Second Xiangya Hospital of Central South University, Changsha, China.
  • Yi J; Department of Thoracic Surgery, The Second Xiangya Hospital of Central South University, Changsha, 410000, China.
  • Cheng Z; Hunan Key Laboratory of Early Diagnosis and Precise Treatment of Lung Cancer, The Second Xiangya Hospital of Central South University, Changsha, China.
  • Liu W; Department of Thoracic Surgery, The Second Xiangya Hospital of Central South University, Changsha, 410000, China.
BMC Pediatr ; 24(1): 173, 2024 Mar 09.
Article en En | MEDLINE | ID: mdl-38461230
ABSTRACT

BACKGROUND:

Pectus excavatum, the most common chest wall deformity, is frequently treated with Nuss procedure. Here we will describe non-invasive procedure and analyze the variables associated vacuum bell therapy for patients with pectus excavatum.

METHODS:

Retrospective case-control study in a single center between July 2018 and February 2022, including patients with pectus excavatum treated with vacuum bell. Follow-up was continued to September 2022. The Haller index and Correction index was calculated before and after treatment to analysis the effectiveness of vacuum bell therapy.

RESULTS:

There were 98 patients enrolled in the treatment group, with 72 available for analysis, and the follow-up period ranged from 1.1 to 4.4 years (mean 3.3 years). When analyzing with the Haller Index, 18 patients (25.0%) showed excellent correction, 13 patients (18.1%) achieved good correction, and 4 patients (5.6%) had fair correction. The remaining patients had a poor outcome. Characteristics predicting a non-poor prognosis included initial age ≤ 11 years (OR = 3.94, p = 0.013) and patients with use over 24 consecutive months (OR = 3.95, p = 0.013). A total of 9 patients (12.5%) achieved a CI reduction below 10. Patients who started vacuum bell therapy at age > 11 had significantly less change compared to those who started at age ≤ 11 (P < 0.05). Complications included chest pain (5.6%), swollen skin (6.9%), chest tightness (1.4%) and erythema (15.3%).

CONCLUSIONS:

A certain percentage of patients with pectus excavatum can achieve excellent correction when treated with pectus excavatum therapy. Variables predicting better outcome including initial age ≤ 11 years both in HI and CI and vacuum bell use over 24 consecutive months in HI. In summary, pectus excavatum is an emerging non-invasive therapy for pectus excavatum and will be widely performed in a certain group of patients.
Asunto(s)
Palabras clave

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Pared Torácica / Tórax en Embudo Límite: Child / Humans Idioma: En Revista: BMC Pediatr Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: China

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Pared Torácica / Tórax en Embudo Límite: Child / Humans Idioma: En Revista: BMC Pediatr Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: China