Conservative Treatment ofPectum Excavatumin Children Using Vacuum Bell (cost of device excluded)

Pectus carinatum deformity is a condition characterized by a protrusion of the chest and ribs. It often occurs during childhood and can be associated with various physical and psychosocial issues. Conservative treatment methods, particularly the use of the Vacuum Bell system, have gained popularity due to their effectiveness in reshaping the chest wall without the need for surgical intervention. The Vacuum Bell provides external correction of the chest, gradually stimulating its return to a more normal position. In the "Dobrobut" medical network, a team of pediatricians and orthopedic surgeons has significant experience using modern techniques to treat such deformities.

When to Consult a Doctor

Parents should consult a doctor if their child exhibits any of the following symptoms or issues:

• Noticeable deformity of the chest with protrusion of the sternum, which becomes more pronounced during physical activity or when the child is in a vertical position.
• Breathing problems, including complaints of shortness of breath or difficulty taking deep breaths, particularly during physical exercises.
• Pain, pressure, or discomfort in the chest.
• Impact on physical activity due to discomfort.

Indications and Contraindications

Conservative treatment using the Vacuum Bell is indicated in the following cases:

• Mild and moderate forms of pectus carinatum that do not require surgical intervention.
• Childhood and adolescence, when the chest wall is still developing and can more easily be shaped.

Contraindications for the use of the Vacuum Bell include severe forms of deformation that significantly affect respiratory function and require surgical correction. Additionally, the use of this method may be hindered by skin diseases or allergic reactions to materials. If the child is unable to consistently wear the device or follow recommendations, it may be advisable to consider an alternative treatment option.

Diagnosis

To determine the necessity and feasibility of treatment with the Vacuum Bell, doctors conduct a thorough examination evaluating the child's condition, assessing the degree of chest deformation, and studying other indicators that may affect overall health. Additionally, respiratory function is evaluated, along with the effect of deformation on physical activity, and instrumental studies are conducted to provide accurate visualization of changes in the skeletal system and their impact on internal organs.

Preparation

Preparation for treatment using the Vacuum Bell includes several important steps:

• Pre-procedural consultation: Discussing the treatment with specialists about how the Vacuum Bell works, expected outcomes, and the importance of adhering to recommendations for wearing the device.
• Measurements for device adjustment: This is critical for achieving effectiveness. The measurement and adjustment process is necessary to ensure proper placement of the device on the child's chest.
• Usage instructions for the child and their parents: This includes duration, frequency, and proper maintenance.

How Treatment is Conducted

Using the Vacuum Bell is a simple process that involves:

• Applying the Vacuum Bell: The device is placed over the protruding area of the chest wall. The vacuum generates negative pressure that gently pulls the sternum inward.
• Regular monitoring and adjustments: The child is taught how to use the Vacuum Bell, and regular follow-up visits ensure adjustments are made as needed to maintain comfort and effectiveness.
• Duration of treatment: The device is typically worn for several hours a day, as recommended by the doctor, to facilitate gradual shaping of the chest wall.

The recovery phase focuses on monitoring and supporting adaptation, so patients should undergo regular check-ups to assess changes in chest shape and ensure the device functions correctly.

During the use of the Vacuum Bell, children are usually advised to continue engaging in their usual activities, including sports, while ensuring they monitor for any signs of discomfort or pain associated with the use of the device.

Complications

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

• Skin irritations or rashes in areas where the Vacuum Bell contacts the skin, possibly related to prolonged contact with the device.
• Discomfort or pressure while wearing the device, especially during the initial 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 Vacuum Bell, consider the following preventive measures:

• Regular follow-up visits allow healthcare professionals to monitor the treatment progress and make necessary adjustments to the therapy plan.
• Proper skin care helps identify signs of irritation and maintain hygiene.
• Good communication between the patient and the medical team is essential to understand the importance of adherence to treatment and to promptly address any issues.

The Vacuum Bell 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 aids in the gradual reshaping of the sternum and ribs, improving both aesthetic appearance and respiratory function. This treatment is particularly effective during growth periods since children’s bodies are more responsive to influence 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 based on their specific needs.

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