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- Title
A Review of Management of Congenital Sublobar Hyperinflation at a Single Institution.
- Authors
Crosier, Caitlin J.; Chandler, John C.; Gates, Robert L.; Ricca, Robert L.; Brinkley, Michael F.
- Abstract
There has been an increased recognition of a subset of congenital lobar emphysema (CLE), termed congenital sublobar hyperinflation (CSLH), which may affect only a segment of lung as opposed to an entire lobe. This is an uncommon variant for which there is a paucity of information in published literature. The majority of CLE are managed surgically. Current literature suggests non-operative management for CSLH. However, there has been slow adoption of non-operative management and there is not a well-established observation pathway. A retrospective review of all pediatric patients diagnosed with CSLH at a single institution was performed from 2017 to 2023 to determine if this variant may be safely managed with observation. A total of 10 patients were identified. Of these, three patients had consolidation on cross-sectional imaging; therefore, operative intervention was undertaken given diagnostic uncertainty. All patients managed observationally remained asymptomatic. This case series validates non-operative management for patients with asymptomatic CSLH.
- Subjects
CHILD patients; ASYMPTOMATIC patients; CROSS-sectional imaging
- Publication
American Surgeon, 2024, Vol 90, Issue 7, p1966
- ISSN
0003-1348
- Publication type
Case Study
- DOI
10.1177/00031348241241743