Treatment of pediatric parapneumonic empyemas with pulmonary cavitary lesions

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dc.authoridozcelik, zerrin/0000-0003-3728-0846
dc.contributor.authorAlar, Timucin
dc.contributor.authorOzcelik, Cemal
dc.contributor.authorOnat, Serdar
dc.contributor.authorOzcelik, Zerrin
dc.contributor.authorBayar, Emin Sirri
dc.date.accessioned2025-01-27T21:01:58Z
dc.date.available2025-01-27T21:01:58Z
dc.date.issued2013
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground: This study aims to evaluate the treatment approach and timing of surgical intervention in pediatric parapneumonic empyema cases with cavitary lesions. Methods: Between January 1990 and December 2006, 38 patients (21 boys, 17 girls; mean age 4.1+2 years; range 1 to 15 years) from the pediatric age group treated for parapneumonic empyema with cavitary lung lesions at the Dicle University Faculty of Medicine Department of Thoracic Surgery were retrospectively analyzed. The demographic characteristics, symptom duration, radiological examinations, treatment methods, and time to recovery of cavitary lesions during the hospitalization and follow-up were evaluated. Results: A total of 13 patients (34%) were given medical treatment, while 25 (66%) underwent surgical treatment. The medical treatment group had a statistically significantly shorter inpatient duration than the surgical treatment group (p=0.010). Analysis of the postoperative inpatient duration revealed that the surgically treated patients stayed statistically significantly shorter in the hospital than the medical treatment group (p<0.001). A bronchopleural fistula (BPF) was found in eight (21%) patients and all were in the surgical treatment group. The mean time to recovery of cavitary lesions during follow-up was 48.7 +/- 8 days (range, 22-106 days). Conclusion: Treatment of parapneumonic pediatric empyema cases with cavitary lesions should include controlling the pleural process with standard empyema treatment, considering pneumonia treatment as an integral part of the disorder, performing surgical treatment if a bronchopleural fistula is present or otherwise waiting patiently for the cavitary lesions to regress and postponing open surgical treatment until the recovery period is completed.
dc.identifier.doi10.5606/tgkdc.dergisi.2013.6225
dc.identifier.endpage88
dc.identifier.issn1301-5680
dc.identifier.issue1
dc.identifier.scopus2-s2.0-84873151325
dc.identifier.scopusqualityQ3
dc.identifier.startpage84
dc.identifier.urihttps://doi.org/10.5606/tgkdc.dergisi.2013.6225
dc.identifier.urihttps://hdl.handle.net/20.500.12428/27247
dc.identifier.volume21
dc.identifier.wosWOS:000314377200015
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherBaycinar Medical Publ-Baycinar Tibbi Yayincilik
dc.relation.ispartofTurk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectCavitary pulmonary disease
dc.subjectpediatric empyema
dc.subjectpleural empyema
dc.titleTreatment of pediatric parapneumonic empyemas with pulmonary cavitary lesions
dc.typeArticle

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