Clinical Outcomes of Dynamic Compression Bracing in Pediatric Patients with Pectus Carinatum: A Retrospective Study

Background: Pectus carinatum is a congenital chest wall deformity characterized by anterior protrusion of the sternum and costal cartilages. Although less common than pectus excavatum, it represents an important problem because of its cosmetic and psychosocial effects. Recently, non-invasive methods, especially dynamic compression bracing, have become more prominent in treatment. Methods: In this retrospective study, the records of 52 pediatric patients who were diagnosed with pectus carinatum and treated with dynamic compression bracing between 2018 and 2023 were examined. Demographic data, type of deformity, treatment duration, daily brace usage, outcomes, and complications were evaluated. Statistical analyses were performed to determine factors affecting treatment success. Results: Of the 87 patients, 71 (81.6%) were male and 16 (18.4%) were female. The mean age was 14.2 ± 2.1 years. The mean body mass index was 21.3 ± 2.4 kg/m². The mean duration of bracing treatment was 11.4 ± 4.2 months, and the mean daily brace usage was 14.5 ± 2.8 hours. Treatment success was achieved in 76% of patients, partial improvement in 18%, and minimal or no improvement in 6%. Early initiation of treatment (≤ 14 years) and daily usage of more than 12 hours were found to be significant factors for treatment success (p < 0.05). Mild skin irritation occurred in 9% of patients, but no severe complications were observed. Conclusions: Dynamic compression bracing is a safe and effective treatment option for pectus carinatum in pediatric patients. Early initiation of treatment and strict daily compliance are important factors that increase success.