Radiological changes post-lymph node enucleation for airway obstruction in children with pulmonary tuberculosis
Φόρτωση...
Ημερομηνία
Συγγραφείς
Maydell, A.
Goussard, P.
Andronikou, S.
Bezuidenhout, F.
Ackermann, C.
Gie, R.
Τίτλος Εφημερίδας
Περιοδικό ISSN
Τίτλος τόμου
Εκδότης
Περίληψη
Τύπος
Είδος δημοσίευσης σε συνέδριο
Είδος περιοδικού
peer-reviewed
Είδος εκπαιδευτικού υλικού
Όνομα συνεδρίου
Όνομα περιοδικού
Eur J Cardiothorac Surg
Όνομα βιβλίου
Σειρά βιβλίου
Έκδοση βιβλίου
Συμπληρωματικός/δευτερεύων τίτλος
Περιγραφή
BACKGROUND: Tuberculous lymphadenopathy causing airway obstruction in children may be life threatening and may require surgical enucleation of the lymph glands. There are no studies investigating the radiological picture post-enucleation. We attempt to explore this area in our study. METHOD: A retrospective study of the imaging in 21 paediatric cases having undergone tuberculosis (TB) lymph node enucleation. RESULTS: Bronchus intermedius (BI) stenosis was present in 95% of patients undergoing enucleation, followed by left main bronchus (LMB) (81%) and right main bronchus (RMB) (67%) stenosis. Right lung collapse/consolidation occurred more frequently (48-62%) than left-lung collapse/consolidation (10-14%). Resolution of BI stenosis and right lower lobe (RLL) collapse/consolidation is the most consistent postoperative finding. Nine children resolved at an average time of 6.5 months postoperatively, while 10 children were still resolving at an average time of 4.5 months. CONCLUSION: The resolution of the complications of lymph node enlargement (airway stenosis and lung collapse/consolidation) was seen more frequently than the resolution of the offending lymphadenopathy itself. Right-sided disease was necessary to produce complications severe enough to require enucleation. Subcarinal lymph node enucleation is sufficient for resolution of LMB stenosis and associated left-lung sequelae.
Περιγραφή
Λέξεις-κλειδιά
Age Factors, Airway Obstruction/microbiology/radiography/*surgery, Child, Preschool, False Negative Reactions, False Positive Reactions, Female, Humans, Infant, Male, Postoperative Period, Retrospective Studies, Tomography, X-Ray Computed, Treatment Outcome, Tuberculosis, Lymph Node/complications/radiography/*surgery, Tuberculosis, Pulmonary/complications/radiography/*surgery
Θεματική κατηγορία
Παραπομπή
Σύνδεσμος
http://www.ncbi.nlm.nih.gov/pubmed/20346692
http://ejcts.oxfordjournals.org/content/38/4/478
http://ejcts.oxfordjournals.org/content/38/4/478
Γλώσσα
en
Εκδίδον τμήμα/τομέας
Όνομα επιβλέποντος
Εξεταστική επιτροπή
Γενική Περιγραφή / Σχόλια
Ίδρυμα και Σχολή/Τμήμα του υποβάλλοντος
Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής