Surgical management of airway obstruction in primary tuberculosis in children

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dc.contributor.authorPapagiannopoulos K.A.
dc.contributor.authorLinegar A.G.
dc.contributor.authorHarris D.G.
dc.contributor.authorRossouw G.J.
dc.date.accessioned2011-05-15T16:15:32Z
dc.date.available2011-05-15T16:15:32Z
dc.date.issued1999
dc.description.abstractBackground. The role of surgery in the management of airway obstruction from lymphobronchial tuberculosis is discussed in the present article. Methods. Nine patients were operated on over a 4-year period and are currently presented. The age of the patients ranged between 5 and 28 months and 7 patients were male. Six patients required preoperative ventilation due to respiratory failure and all received standard posterolateral thoracotomies. Partial dissection and enucleation of bulky lymph nodes was performed in all but 1 patient. In that patient, the group of lymph nodes could be removed fully, including the sheath. Results. All patients showed marked improvement and were weaned off the ventilator between 24 and 72 hours postoperatively. Long term follow-up was available in 7 patients and they are all doing well and are free of symptoms. Conclusions. Enucleation of mediastinal lymph nodes obstructing the airways in young patients with lymphobronchial tuberculosis is safe. It successfully relieves obstruction and is devoid of complication providing that incision, evacuation, and curettage of lymph nodes is performed avoiding overzealous dissection.
dc.description.versionConference Paper
dc.identifier.citationAnnals of Thoracic Surgery
dc.identifier.citation68
dc.identifier.citation4
dc.identifier.issn00034975
dc.identifier.other10.1016/S0003-4975(99)00684-0
dc.identifier.urihttp://hdl.handle.net/10019.1/13379
dc.subjectairway obstruction
dc.subjectclinical article
dc.subjectconference paper
dc.subjectfemale
dc.subjecthuman
dc.subjectinfant
dc.subjectlymph node dissection
dc.subjectmale
dc.subjectmediastinum lymph node
dc.subjectpediatric surgery
dc.subjectpreschool child
dc.subjectprimary tuberculosis
dc.subjectpriority journal
dc.subjectrespiratory failure
dc.subjectsurgical technique
dc.subjectthoracotomy
dc.subjectAirway Obstruction
dc.subjectChild, Preschool
dc.subjectFemale
dc.subjectFollow-Up Studies
dc.subjectHumans
dc.subjectInfant
dc.subjectMale
dc.subjectPostoperative Complications
dc.subjectThoracotomy
dc.subjectTomography, X-Ray Computed
dc.subjectTuberculosis, Lymph Node
dc.subjectTuberculosis, Pulmonary
dc.subjectVentilator Weaning
dc.titleSurgical management of airway obstruction in primary tuberculosis in children
dc.typeConference Paper
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