Kocaeli Med J. 2024; 13(2): 110-114 | DOI: 10.5505/ktd.2024.52284

Outcomes of Primary Spontaneous Pneumothorax in Adolescents

Necla Gürbüz Sarýkaþ¹, Seniha Esin Söðüt¹, Onursal Varlikli^2
1Kocaeli Health Sciences University, Derince Training And Research Hospital, Department Of Pediatric Surgery, Kocaeli, Turkey
²Kocaeli University, Faculty of Medicine, Department of Pediatric Surgery, Kocaeli, Turkey

INTRODUCTION: Primary spontaneous pneumothorax (PSP) is the most common type of pneumothorax seen in adolescents. The aim of this study was to evaluate the results of PSP treatment in the adolescent age group in our clinic.
METHODS: In this study, the records of patients aged 14-18 years who were diagnosed with PSP at our center between March 2012 and March 2022 were retrospectively reviewed for age, sex, presenting complaints, diagnostic methods, pneumothorax rates, treatment methods, duration of stay, tube length of hospital stay, and outcomes.
RESULTS: : Of the 82 patients who were followed up, 72 (87.8%) were male and 10 (12.2%) were female. Conservative treatment was administered to 48 patients in all cases. Tubes were inserted in 34 (41.5%) patients. A chest tube was inserted once in 21 of the 34 patients, twice in 11 patients, and 3 times in 2 patients. Length of stay was recorded as chest tube for less than 3 days in 12 patients, 4-7 days in 16 patients, and more than 8 days in 6 patients. Video-assisted thoracic surgery (VATS) was performed in one patient. Open surgery was performed in 4 patients. Recurrence was observed in 32 (39.0%) of the 82 patients.
DISCUSSION AND CONCLUSION: Tube thoracostomy, which is both easy and effective, may be the first choice for the treatment of primary spontaneous pneumothorax. The choice of video-assisted thoracic surgery and open surgery should be based on the experience of clinicians and selected cases. We also believe that guidelines should be established as a standardized approach for the treatment of PSP

Keywords: primary spontaneous pneumothorax, adolescent, tube thoracostomy

---

Adolesanlarda Primer Spontan Pnömotoraks Sonuçlarýmýz

Necla Gürbüz Sarýkaþ¹, Seniha Esin Söðüt¹, Onursal Varlikli^2
1Kocaeli Saðlýk Bilimleri Üniversitesi, Derince Eðitim Ve Araþtýrma Hastanesi, Çocuk Cerrahisi, Kocaeli, Türkiye
²Kocaeli Üniversitesi, Týp Fakültesi, Çocuk Cerrahi Ana Bilim Dalý, Kocaeli, Türkiye

GÝRÝÞ ve AMAÇ: Primer spontan pnömotoraks (PSP), en sýk adolesan yaþ grubunda görülen pnömotoraks tipidir. Bu çalýþmayla; kliniðimizdeki PSP’lý hastalarýn tedavisinin sonuçlarýný literatür eþiliðinde deðerlendirmek amaçlandý.
YÖNTEM ve GEREÇLER: Çalýþmada, Mart 2012 ve Mart 2022 tarihleri arasýnda merkezimizde PSP tanýsý alan 14-18 yaþlarýndaki hastalarýn yaþ, cinsiyet, baþvuru þikayetleri, taný yöntemleri, pnömotoraks taraf ve oranlarý, tedavi yöntemleri, tüp kalýþ süresi, hastanede kalýþ süresi ve sonuçlarý için hastalarýn kayýtlarý geriye dönük olarak incelendi.
BULGULAR: Takip edilen 82 hastanýn 72’si (%87.8) erkek, 10’u kýz (%12,2) dý. Hastalarýn 48’ine konservatif tedavi uygulandý. 34 (%41,5) hastaya tüp torakostomi uygulandý. Bu 34 hastanýn 20’ne 1 kez, 11 hastaya 2 kez, 4 hastaya 3 kez göðüs tüpü takýldý. Tüp kalýþ süreleri 12 hasta da 3 günden az, 16 hastada 4-7 gün arasýnda, 6 hastada 8 günden fazla göðüs tüpü ile takip edildi. Hastalarýn 1’ine video yardýmlý toraks cerrahisi (VATS) uygulandý. Dört hastaya açýk cerrahi yapýldý. Takip edilen toplam 82 hastanýn 32 (%39.0)’inde nüks gözlemlendi.
TARTIÞMA ve SONUÇ: Primer spontan pnömotoraksýn tedavisinde tüp torakostomi yönteminin hem kolay hem etkili ilk seçenek olabileceðini düþünmekteyiz. Video yardýmlý toraks cerrahisi ve açýk cerrahi uygulamalarýnýn seçimi klinisyenlerin deneyimlerine ve seçilmiþ olgulara göre yapýlmalýdýr. Ayrýca PSP tedavisinde standart bir yaklaþým için kýlavuzlarýn oluþturulmasý gerektiðini düþünmekteyiz

Anahtar Kelimeler: primer spontan pnömotoraks, adolesan, tüp torakostomi

---

CITE