Changes in self-image after pectus carinatum brace treatment

Background/purpose: Pectus carinatum (PC) is a chest wall deformity resulting in anterior protrusion of the chest. PC does not typically result in significant physical or cardiopulmonary symptoms, but patients with this condition can experience a disturbed body image, lower self-esteem and reduced quality of life. The purpose of this study was to investigate the relationship between self-image and non-surgical correction of PC using a brace.

Methods: This study was a descriptive, pre-post survey design. The sample included children ages 11 to <18 years undergoing PC treatment with the dynamic compressor system. Subjects completed the modified Pectus Excavatum Evaluation Questionnaire (mPEEQ) at the onset of bracing and again once PC correction was completed.

Results: Ninety-seven subjects were enrolled at the time of bracing, and 41 achieved correction and took the second survey. The mean age was 14 years and 80% were male. There was a statistically significant (p<0.001) improvement in body self-image between the first and second surveys.

Conclusions: Non-surgical correction of PC with the dynamic compressor system resulted in an improvement in the self-image of children.

Prognosis study: Level of Evidence II.