In spite of improvement in the exploratory techniques of the respiratory tract, tracheo-bronchography preserves numerous indications in the study of children's congenital or acquired bronchopneumopathies. The main indications of this investigation consist in the detection of bronchectasies or in the exploratory study of chronic and relapsing bronchial diseases. The investigation makes possible to precise the severity of the disease, to value the results of the medical management and, at last, to select the patients amenable to surgery. Another indications are to be found in the appraisal of some malformative broncho-pneumopathies, with special reference to lung hypoplasias and sequestrations. The technical conditions of the investigation have largely benefited of short duration general anesthesy and of various material improvements (televised fluoroscopy, orientable catheters of small calibre).
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J Pediatr Surg
December 2024
Division of Pediatric Surgery, Department of Surgery, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147, Genova, Italy; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, DINOGMI, Università di Genova, Largo Paolo Daneo 3, 16132, Genova, Italy; Pediatric Thoracic and Airway Surgery Unit, Department of Surgery, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147, Genova, Italy.
Front Oncol
September 2023
Department of Thoracic Surgery, Hebei General Hospital, Shijiazhuang, China.
Background: Studies have analyzed the simplified branching pattern of peripheral segmental veins and developed a standardized approach for intersegmental vein identification in the right upper lobe (RUL). However, the identification approach of intersubsegmental veins has not been reported. This study aimed to supplement the identification approach of intersubsegmental veins and the classification pattern of peripheral segmental veins by using three-dimensional computed tomography bronchography and angiography (3D-CTBA).
View Article and Find Full Text PDFBMC Pediatr
May 2022
Department Paediatrics 2, Pulmonology, Cardiology, Intensive Care, Children's Hospital, University of Tuebingen, Hoppe-Seyler-Strasse 1, 72076, Tuebingen, Germany.
Background: Bronchopleural fistula (BPF) is a severe complication following pneumonia or pulmonary surgery, resulting in persistent air leakage (PAL) and pneumothorax. Surgical options include resection, coverage of the fistula by video-assisted thoracoscopic surgery (VATS), or pleurodesis. Interventional bronchoscopy is preferred in complex cases and involves the use of sclerosants, sealants and occlusive valve devices.
View Article and Find Full Text PDFCochrane Database Syst Rev
January 2022
Medical School, Faculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, UK.
Background: Bronchiectasis is a common but under-diagnosed chronic disorder characterised by permanent dilation of the airways arising from a cycle of recurrent infection and inflammation. Symptoms including chronic, persistent cough and productive phlegm are a significant burden for people with bronchiectasis, and the main aim of treatment is to reduce exacerbation frequency and improve quality of life. Prophylactic antibiotic therapy aims to break this infection cycle and is recommended by clinical guidelines for adults with three or more exacerbations a year, based on limited evidence.
View Article and Find Full Text PDFActa Cardiol Sin
November 2021
Departments of Pediatrics; College of Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Background: There is an intimate spatial relationship between the cardiovascular and airway structures. Central airway compression related to congenital cardiovascular anomalies should be considered in neonates, infants, and young children presenting with stridor.
Methods: From July 31, 1990 to December 31, 2018, 24 pediatric patients, including 18 males and 6 females, aged 1 day to 11.
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