Diagnosis and management of idiopathic spontaneous pneumothorax in adolescents

Copyright © 2023 SPLF. Published by Elsevier Masson SAS. All rights reserved..

INTRODUCTION: Due to the absence of consensual definition and agreed-upon pediatric treatment, pneumothorax (PNO) in children and adolescents often remains difficult to properly apprehend.

STATE OF THE ART: While initial diagnostic suspicion is clinical, confirmation necessitates chest imaging, and lung ultrasound has become increasingly prevalent, often at the expense of chest radiography. The goal of treatment is twofold, on the one hand to a fully re-expand the lungs, and on the other hand to forestall PNO recurrence. Depending on PNO severity and clinical tolerance, it may be advisable to envision conservative management, oxygen supplementation, needle exsufflation, or chest tube drainage.

PERSPECTIVES: In order to harmonize clinical practices, guidelines for the precise definition and graduated management of PNO in children and adolescents are highly advisable.

CONCLUSIONS: Idiopathic spontaneous PNO frequently occurs in teenage populations, and its likewise frequent recurrence is not satisfactorily predicted by chest CT findings. It is of paramount importance that patients be fully informed of the risk of recurrence.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:41

Enthalten in:

Revue des maladies respiratoires - 41(2024), 2 vom: 05. Feb., Seite 139-144

Sprache:

Französisch

Weiterer Titel:

Mise au point diagnostique et prise en charge du pneumothorax spontané idiopathique de l’adolescent

Beteiligte Personen:

Mazenq, J [VerfasserIn]
Dubus, J-C [VerfasserIn]

Links:

Volltext

Themen:

Adolescent
Chest tube
Drainage
English Abstract
Exsufflation
Idiopathic spontaneous pneumothorax
Journal Article
Pneumothorax spontané idiopathique
Review
Thoracoscopie
Thoracoscopy

Anmerkungen:

Date Completed 19.02.2024

Date Revised 19.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.rmr.2023.12.002

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36815422X