ISSN: 2578-482X
Authors: Campos JRM*, Miranda Luzo MCD, Iamamura AY, Tedde ML and Fernandes PP
Objective: Evaluation of effectiveness of the use of the Pectus Press (PP) on patients with Pectus Excavatum (PE) as initial and post-operative treatment of the Nuss procedure for the correction of posture, reduction of pain and prevention of bar displacement. Methods: Between August 2015 and December 2017, 159 patients, from 7 to 46 years (M=17), with PE were treated. On first visit patients received the orthotic equipment and oriented to follow a home exercise program and physical activities. Thirty-six (64.4%) underwent surgery during this period of time. We checked the correct size, position of the supports, the pressure of the shoulder straps on each visit every 30-60 days. The Valsalva maneuver with a “Pectus Whistle” after October-2016 was also recommended. Results: Better posture and more flexibility of the thorax were observed by patients and parents after the first three weeks including reduction of costal flaring in 73 (84%) that used the device for more than 12 hours a day including nighttime use. In the first 30 - 90 days of post-operative period, helped to reduce the pain and the possibility of bar bending, with the maintenance of a corrected posture. No bar displacement was observed in the operated group and less pain medication were prescribed. Conclusions: Treatment using orthosis and exercises for PE has been very well described (Haje Method)."Pectus Press" is a flexible low-profile orthosis and has shown to be a useful tool in the pre- and post-operative periods of the Nuss procedure. Adding exercise's + Pectus whistle’s, it provides thoracic chest wall flexibility. In the post-operative period, less pain and no bar displacement were observed. The success of treatment was directly linked to the patient age, time and frequency of the use of the device.
Keywords: Pectus Press; Pectus Excavatum
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