Musters Gijsbert D, Oomen Matthijs W N, Zwaveling Sander, de Jong Justin R, de Beer Sjoerd A
Amsterdam UMC, locatie AMC-UvA, afd. Kinderchirurgie.
Contact: S.A. de Beer (
Ned Tijdschr Geneeskd. 2019 Jan 9;163:D3557.
Pectus carinatum is a congenital chest-wall deformity with a prevalence of 0.3-0.7%. This chest-wall deformity can lead to functional, cosmetic and psychosocial problems. For many years, the only available treatment was an invasive surgical procedure. A less-invasive treatment, namely external compression of the sternum with a brace, showed disappointing results due to discomfort, a high percentage of skin complications and low compliance. The introduction of the dynamic compression brace has meant that the pressure of sternal compression can be measured and adjusted, which has improved comfort and compliance and resulted in an increased success rate of 92% and a decrease in the percentage of skin complications to just 8%. Despite the fact that wearing a compression brace for a longer period of time is not an easy undertaking for an adolescent, the use of the dynamic compression brace results in a high success rate, and is a safe and an efficient treatment.
鸡胸是一种先天性胸壁畸形，患病率为0.3%-0.7%。这种胸壁畸形可导致功能、外观及心理社会问题。多年来，唯一可用的治疗方法是侵入性外科手术。一种侵入性较小的治疗方法，即用支架对胸骨进行外部加压，由于不适、皮肤并发症比例高和依从性低，效果令人失望。动态加压支架的引入意味着可以测量和调整胸骨加压的压力，这提高了舒适度和依从性，成功率提高到92%，皮肤并发症的比例降至仅8%。尽管对于青少年来说，长时间佩戴加压支架并非易事，但使用动态加压支架成功率高，是一种安全有效的治疗方法。
