Chest
Clinical InvestigationsSurgeryPhysical Development of Surgically Treated Patients With Primary Spontaneous Pneumothorax
Section snippets
Materials and Methods
Of 95 patients with PSP who were treated surgically during a study period of 7 years in our hospital, 27 male patients whose physical development could be examined participated in the present study. Four female patients whose physical development could be examined were not included in this study.
The backgrounds of the 95 patients were as follows. The right side was surgically treated in 48 patients, the left in 43 patients, and both in 4 patients. The patients consisted of 78 men and 17 women.
Results
Because schools in Japan are allowed to discard physical records of the students 5 years after their graduation, complete records from primary to senior high school could be examined in only 31 young patients. Of these 31, 27 male patients were examined in this study. Because some low- and middle-teenage patients were included in this group, the overall number of patients examined was 27 in the age group from 6 to 11 years, 26 from 12 to 13 years, 25 at 14 years, 24 at 15 years, 23 at 16 years,
Discussion
Most cases of spontaneous pneumothorax were regarded as being secondary to pulmonary tuberculosis, until 1932, when Kjaergard6 described PSP as a separate entity occurring in previously healthy adults. As noted in the article by Withers et al,7 Devilliers was the first to suggest the rupture of subpleural blebs as a cause for spontaneous pneumothorax. Since then, there have been many studies on factors related to the formation and rupture of subpleural cysts.
West8 showed that the size of
Summary
Physical development was investigated in patients with PSP, and the following results were obtained: (1) Patients with PSP are ectomorphic from childhood. This is primarily because of their greater than average height, but their body weight is also greater than average in early childhood. (2) This ectomorphy is further exaggerated in the period of rapid physical development as a result of more rapid increase in height than weight. (3) The rapid increase in the vertical dimension of the thorax
References (11)
- et al.
Primary spontaneous pneumothorax in men
Am J Med Sci
(1993) - et al.
Spontaneous pneumothorax, suggested etiology and comparison of treatment methods
Am J Surg
(1964) Distribution of mechanical stress in the lung, a possible factor in localisation of pulmonary disease
Lancet
(1971)- et al.
Physical constitution and smoking habits of patients with idiopathic spontaneous pneumothorax
Jpn J Med
(1983) - et al.
Recurrence of primary spontaneous pneumothorax
Thorax
(1997)
Cited by (61)
Management of Primary Spontaneous Pneumothorax in Children: A Single Institution Protocol Analysis
2023, Journal of Pediatric SurgeryRecurrence rate and risk factors for recurrence after thoracoscopic surgery for primary spontaneous pneumothorax: A nationwide population-based study
2021, Journal of the Formosan Medical AssociationCitation Excerpt :This finding is consistent with the findings of previous reports demonstrating an increased risk of recurrence in children.11,12 One reason for this may be related to rapid physical growth during adolescence, which causes a rapid increase in the vertical dimension of the thorax relative to the change in its horizontal dimension, thereby creating increased negative pressure at the lung's apex and enhancing the formation of subpleural blebs or cysts that can cause PSP when they rupture.13 Therefore, stratification of patients according to age may help predict the risk of recurrence, and our results suggest that younger patients with PSP may benefit from more aggressive treatment.
Spontaneous Pneumothorax
2021, Encyclopedia of Respiratory Medicine, Second EditionAge and Clinical Presentation for Primary Spontaneous Pneumothorax
2020, Heart Lung and CirculationCitation Excerpt :Indeed, the average age of onset in males is 26.6 years, while in females it is 30.9 years. Finally, a double peak in incidence was found: the first between 15 and 30 years of age; the second between 40 and 45 years of age [4–17]. Regarding symptoms, pain and dyspnoea in its various forms (frequently reported as breathlessness, tachypnoea, and fatigue) were the most often reported.