Conservative Treatment ofPectum Excavatumin Children Using Individual Dynamic Brace Compression System (cost of IDBCS excluded)

Pectus carinatum (pigeon chest) is a congenital condition characterized by a protrusion of the sternum and ribs. This condition can lead to aesthetic concerns and, in some cases, functional difficulties such as breathing problems or discomfort during physical activity. Conservative treatment methods, particularly the use of the Individual Dynamic Compression Brace System (IDCBS), have been developed to provide effective non-invasive treatment for chest wall deformities in children. In the "Dobrobut" clinics, experienced specialists offer modern treatment techniques that ensure maximum therapeutic effect during periods of growth and development.

When to Consult a Doctor

Parents should consult a doctor if their child exhibits any signs of pectus carinatum that requires medical assessment or treatment:

• Noticeable protrusion and asymmetry of the chest.
• Complaints of discomfort or pain in the chest area, especially during physical activity.
• Changes in breathing: shortness of breath and other difficulties.
• Rapid fatigue during physical exertion.
• Frequent respiratory infections, palpitations, irregular heart rate, posture problems, and possible scoliosis.
• Social or psychological issues, including anxiety and a tendency toward depression.

Indications and Contraindications for Conservative Treatment with IDCBS

Conservative treatment using IDCBS is indicated in the following cases:

• Mild and moderate forms of pectus carinatum that do not require surgical intervention but can benefit from external support.
• Children who are still growing. This approach is particularly effective for children and adolescents, as their chest wall is still developing, allowing for reshaping during growth.

Contraindications for the use of IDCBS may include:

• Severe forms of pectus carinatum where the deformity significantly affects respiratory function and requires surgical correction.
• Skin diseases or allergies to the materials used in the brace.

Diagnosis

To determine the necessity and feasibility of treatment with IDCBS, doctors perform thorough diagnostics to assess the degree of deformation, its progression, and its impact on health. More precise data can be provided by computed tomography and other imaging methods. Laboratory tests may also provide additional information on health status, metabolic, and reparative processes in the body.

How Treatment is Conducted

Treatment with IDCBS includes the following stages:

• Preparation: The doctor provides detailed information about how the Individual Dynamic Compression Brace System (IDCBS) works, expected outcomes, potential risks, and recommendations for using the system.
• Fitting the Device: The specialist measures the patient's body to ensure proper fit and the comfortable level of pressure necessary for effective correction of the deformity.
• Usage Instructions: Parents and patients receive detailed guidelines on wearing the brace system, including duration, frequency, and maintenance for more effective treatment.
• Securing the System: The brace is fixed directly to the chest, ensuring gradual pressure on its center to correct the shape.
• Regular Monitoring: For treatment efficacy, regular visits allow the doctor to assess progress and make necessary adjustments to the system's fit. There may be about 10 such visits throughout the treatment course.
• Evaluation of Results: At the end of the course, which can last from 7 to 24 months depending on the clinical situation and the child's condition, a follow-up examination is conducted to assess treatment effectiveness.

Complications

While the use of IDCBS is generally safe, certain complications may arise, including:

• Skin irritations or rashes in areas where the brace contacts the skin due to prolonged contact with the device.
• Discomfort or pressure while wearing the device, especially during the adjustment period.
• Ineffectiveness of treatment in some cases if the device is not used regularly or correctly.

Prevention

To minimize risks and enhance the effectiveness of treatment with the IDCBS, consider the following preventive measures:

• Regular Follow-ups: Regular check-ups allow healthcare providers to monitor treatment progress and make necessary adjustments to the therapy plan.
• Proper Skin Care: Maintaining good hygiene and monitoring for signs of irritation can help prevent skin issues.
• Effective Communication: Open communication between the patient and the healthcare team is crucial for understanding the importance of adherence to treatment and addressing any emerging concerns promptly.

The Individual Dynamic Compression Brace System (IDCBS) is an effective and non-invasive option for treating pectus carinatum deformity in children. By applying gentle, dynamic pressure on the chest wall, this device facilitates gradual reshaping of the sternum and ribs, improving both aesthetic appearance and respiratory function. This treatment is particularly effective during growth periods, as children's bodies are more responsive to influences on bone formation.

In the "Dobrobut" medical center, we emphasize the importance of timely intervention and adherence to recommendations so that each child receives individualized care tailored to their specific needs.

Appointments for consultations with an orthopedic surgeon can be scheduled through the form on the website or by contacting the call center.