Volume 12, Issue 1, Pages 55-61 (February 2003)

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ABSTRACT

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Pediatric spontaneous pneumothorax☆

Abstract

The aim of this study was to review pediatric spontaneous pneumothorax and describe diagnostic and therapeutic approaches and to review our institutional experience with spontaneous pneumothorax. A medline search using keywords pneumothorax and pediatric in both French and English from 1988 through May 2002 was performed, and pertinent papers regarding the natural history, diagnosis, imaging, and therapy were reviewed. A 10-year chart review of spontaneous pneumothorax recording data on demographics, diagnostic imaging, therapeutic approach, and outcomes was performed. Only 4 case series and one review article were produced by the medline search involving exclusively pediatric spontaneous pneumothrax. One hundred ninety-six other articles involved adult series with a minority of patients under 18 years of age. A subset of articles from this adult-based group were examined to assist in formulating recommendations for diagnosis, imaging, treatment, and surgical management of pediatric spontaneous pneumothorax. Few articles on this topic report randomized studies in the adult literature and none in the pediatric literature. The chart review yielded 53 cases of spontaneous pneumothorax in 40 patients with important data presented in the current review. Although few articles are able to provide best-evidence information, the diagnosis, imaging, treatment, and surgical management of patients with primary spontaneous pneumothorax is achieved with good results. Stronger data specific to pediatric patients are needed. Copyright 2003, Elsevier Science (USA). All rights reserved.

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Article Outline

• Abstract

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References

1. 1 Wilcox DT, Glick PL, Karamanoukian HL, et al. Spontaneous pneumothorax: A single-institution, 12-year experience in patients under 16 years of age. J Pediatr Surg. 1995;30:1452–1454. Abstract | Full-Text PDF (391 KB) | CrossRef

2. 2 Bratu I, Flageole H, Chen M-F, et al. The multiple facets of pulmonary sequestration. J Pediatr Surg. 2001;36:784–790. Abstract | Full Text | Full-Text PDF (145 KB) | CrossRef

3. 3 Poenaru D, Yazbeck S, Murphy S. Primary spontaneous pneumothorax in children. J Pediatr Surg. 1994;29:1183–1185. Abstract | CrossRef

4. 4 Cook CH, Melvin WS, Groner JI, et al. A cost-effective thoracoscopic treatment strategy for pediatric spontaneous pneumothorax. Surg Endosc. 1999;13:1208–1210. MEDLINE | CrossRef

5. 5 Stringel G, Amin NS, Dozor AJ. Video-assisted thoracoscopy in the management of recurrent spontaneous pneumothorax in the pediatric population. J Soc Laparoendosc Surg. 1999;3:113–116.

6. 6 Michel JL. Le pneumothorax spontané de l'enfant. Arch Pédiatr. 2000;7(Suppl 1):39–43.

7. 7 American College of Chest Physicians Delphi Consensus Statement on Management of Spontaneous Pneumothorax. Chest. 2001;119:148–167.

8. 8 Sahn SA, Heffner JE. Spontaneous Pneumothorax. N Engl J Med. 2000;342:868–874. MEDLINE | CrossRef

9. 9 Gupta D, Hansell A, Nichols T, et al. Epidemiology of pneumothorax in England. Thorax. 2000;55:666–671. MEDLINE | CrossRef

10. 10 Mendis D, El-Shanawany T, Mather A, et al. Management of spontaneous pneumothorax: Are British Thoracic Society guidelines being followed?. Postgrad Med J. 2002;78:80–84. MEDLINE | CrossRef

11. 11 Vernejoux JM, Raherison C, Combe P, et al. Spontaneous pneumothorax: Pragmatic management and long-term outcome. Resp Med. 2002;95:857–862.

12. 12 Noppen M, Alexander P, Driesen P, et al. Quantification of primary spontaneous pneumothorax: Accuracy of the Light index. Resp. 2001;68:396–399.

13. 13 Sihoe AD, Yim APC, Lee TW, et al. Can CT scanning be used to select patients with unilateral primary spontaneous pneumothorax for bilateral surgery?. Chest. 2000;118:380–383. MEDLINE | CrossRef

14. 14 Mitlehner W, Friedrich M, Dissmann W. Value of computer tomography in the detection of bullae and blebs in patients with primary spontaneous pneumothorax. Respiration. 1992;59:221–227. MEDLINE | CrossRef

15. 15 Almend M, Lange P, Viskuin K. Spontaneous pneumothorax comparison of simple drainage, talc pleurodesis and tetracycline pleurodesis. Thorax. 1989;44:627–630. MEDLINE | CrossRef

16. 16 Light PW, O'Hara VS, Moritz TE, et al. Intrapleural tetracycline for the prevention of recurrent spontaneous pneumothorax: Results of a Department of Veterans Affairs co-operative study. JAMA. 1990;264:2224–2230. MEDLINE

17. 17 Luck S, Raffensperger J, Sullivan HJ, et al. Management of pneumothorax in children with chronic pulmonary diseases. J Thorac Cardiosvasc Surg. 1997;74:834–839.

18. 18 Kim J, Kim K, Shim YM, et al. Videoassisted thoracic surgery as a primary therapy for primary spontaneous pneumothorax. Surg Endosc. 1998;12:1290–1293. MEDLINE | CrossRef

19. 19 Tschopp M, Brutsche M, Frey TG. Treatment of complicated spontaneous pneumothorax by simple talc pleurodesis under thoracoscopy and local anesthesia. Thorax. 1997;52:329–332. MEDLINE | CrossRef

20. 20 Liu HP, Yim APC, Izzat MB, et al. Thoracoscopic surgery for spontaneous pneumothorax. World J Surg. 1999;23:1133–1136. MEDLINE | CrossRef

21. 21 Cardillo G, Facciolo F, Giunti R, et al. Videothoracoscopic treatment of primary spontaneous pneumothorax: A six-year experience. Ann Thorac Surg. 2000;69:357–362. MEDLINE | CrossRef

22. 22 Crisci R, Coloni GF. Video-assisted thoracoscopic surgery versus thoracotomy for recurrent spontaneous pneumothorax. Eur J Cardiothorac Surg. 1996;10:556–560. Abstract | Full-Text PDF (379 KB) | CrossRef

23. 23 Dumont P, Diemont F, Massard G, et al. Does a thoracoscopic approach for surgical treatment of spontaneous pneumothorax represent progress?. Eur J Cardiothorac Surg. 1997;11:27–31. Abstract | Full Text | Full-Text PDF (209 KB) | CrossRef

24. 24 Athanassiadi K, Kalavrouziotis G, Loutsidis A, et al. Surgical treatment of spontaneous pneumothorax: Ten-year experience. World J Surg. 1998;22:803–806. MEDLINE | CrossRef

25. 25 Yim APC. Simultaneous vs staged bilateral video-assisted thoracoscopic surgery. Surg Endosc. 1996;10:1029–1030. MEDLINE | CrossRef

26. 26 Jimenez-Mercàn R, García-Díaz F, Arenas-Linàres C, et al. Comparative retrospective study of surgical treatment of spontaneous pneumothorax. Surg Endosc. 1997;11:919–922. MEDLINE | CrossRef

27. 27 Horio H, Nomori H, Fuyuno G, et al. Limited axillary thoracotomy vs video-assisted thoracoscopic surgery for spontaneous pneumothorax. Surg Endosc. 1998;12:1155–1158. MEDLINE | CrossRef

28. 28 Ayed AK, Al-Din HJ. The results of thoracoscopic surgery for primary spontaneous pneumothorax: A six-year experience. Ann Thorac Surg. 2000;69:357–362. MEDLINE | CrossRef

29. 29 Lang-Lazdunski L, Kerangal X, Pons F, et al. Primary Spontaneous Pneumothorax: One-Stage treatment by bilateral video-thoracoscopy. Ann Thorac Surg. 2000;70:412–417. MEDLINE | CrossRef

30. 30 Loubani M, Lynch V. Video-assisted Thoracoscopic bullectomy and acromycin pleurodesis: An effective treatment for spontaneous pneumothorax. Respir Med. 2000;94:888–890. Abstract | Full-Text PDF (106 KB) | CrossRef

31. 31 Hyland MJ, Ashcrafi AS, Crepeau A, et al. Is video-assited thoracoscopic surgery superior to limited axillary thoracotomy in the management of spontaneous pneumothorax?. Can Respir J. 2001;8:339–343. MEDLINE

32. 32 Freixinet J, Canalis E, Rivas J, et al. Surgical treatment of primary spontaneous pneumothorax with video-assisted thoracic surgery. Eur Respir J. 1997;10:409–411. MEDLINE | CrossRef

33. 33 Moureux J, Elkaim D, Padovani B, et al. Video-assisted thoracoscopic treatment of spontaneous pneumothorax: Technique and results of one hundred cases. J Thorac Cardiovasc Surg. 1996;112:385–391. Abstract | Full Text | Full-Text PDF (793 KB) | CrossRef

34. 34 Yim Ap, Liu HP. Video-assisted thoracoscopic management of primary spontaneous pneumothorax. Surg Laparosc, Endosc and Perc Tech. 1999;9:70–73.

35. 35 Ramo O, Salo J, Mattila S. Video-assisted thoracoscopic pleurectomy in the treatment of recurrent spontaneous pneumothorax. Ann Chir Gynaecol. 1995;84:272–275. MEDLINE

36. 36 Deslauriers J, Beaulieu M, Despres J, et al. Transaxillary pleurectomy for treatment of spontaneous pneumothorax. Ann Thorac Surg. 1980;30:569–574. MEDLINE | CrossRef

37. 37 Nazarian J, Down G, Lau O. Pleurectomy through the triangle of auscultation for treatment of recurrent pneumothorax in younger patients. Arch Surg. 1998;123:114.

Division of Pediatric General Surgery, Montreal Children's Hospital, McGill University Health Center, Montreal, Quebec, Canada

☆ Address reprint requests to Kenneth S. Shaw, MD, Division of Pediatric General Surgery, Montreal Children's Hospital, 2300 Tupper St, Suite C-1134, Montreal, Quebec, Canada H3H 1P3.

PII: S1055-8586(03)70007-9

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