Clinical Findings in Middle Lobe Syndrome and Other Processes of Pulmonary Shrinkage in Children (AtelectasisSyndrome)*

Ring-Mrozik, E.; Hecker, Waldemar Ch.; Nerlich, Andreas G.; Krandick, Guido

doi:10.1055/s-2008-1042503

Cited by 12 publications

(9 citation statements)

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“…Extraluminal obstruction can be due to bronchial compression by tumor or lymph nodes, abnormal branching, or abnormal bronchial diameter, length, or structure. 3 Aspiration of foreign material, edema or scarring of the mucosa, and granulation tissue or tumors cause intraluminal obstruction. 3 Primary inflammatory processes and disorders of collateral ventilation are designated as nonobstructive sources of atelectasis syndrome.…”

Section: Discussionmentioning

confidence: 99%

“…3 Aspiration of foreign material, edema or scarring of the mucosa, and granulation tissue or tumors cause intraluminal obstruction. 3 Primary inflammatory processes and disorders of collateral ventilation are designated as nonobstructive sources of atelectasis syndrome. [2][3][4] The middle lobe and lingula contain only scanty parenchymal bridges due to the deep fissures that isolate these lobes and provide effective barriers to collateral ventilation, thus predisposing to chronic inflammation and persistent atelectasis.…”

Section: Discussionmentioning

confidence: 99%

“…2 The mechanisms of RMLS in children were thought to be a nonobstructive atelectasis due to poor collateral ventilation. 1,3,4 A specific group of these patients were examined. The purpose of this study was to analyze the specific characteristics of patients with bronchiectasis of the middle lobe, lingula, or both, and to document the indications and results of surgical resection.…”

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confidence: 99%

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Resection of the Right Middle Lobe and Lingula in Children for Middle Lobe/Lingula Syndrome

Ayed

2004

Chest

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Resection of the Right Middle Lobe and Lingula in Children for Middle Lobe/Lingula Syndrome

Ayed

2004

Chest

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“…For this reason, antibiotic coverage, postural drainage, bronchodilator therapy, and a conservative approach with regard to allergic causes has been performed in practice. [3,5,15,16] Most of the causes of MLS are thought to be linked with asthma, and patients could possibly recover spontaneously. However, recovery from the acute symptoms of MLS migth not take place due to the re-expansion of atelectatic pulmonary parenchyma following and asthma attack.…”

Section: Discussionmentioning

confidence: 99%

Middle lobe syndrome: a retrospective analysis

Meteroğlu¹

2013

Turk Gogus Kalp Dama

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Bu çalışmada tekrarlayan pulmoner enfeksiyonlu hastalarda orta lob sendromu (OLS) cerrahisinin etkinliği değerlendirildi. Ça lış ma pla nı: Ocak 1994 ve Ocak 2011 tarihleri arasında Dicle Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalında OLS nedeniyle ameliyat edilen 37 hasta (19 kadın, 18 erkek; ort. yaş 12.3 yıl; dağılım 6-55 yıl) retrospektif olarak incelendi. Altta yatan etyoloji, hastalık semptomları, bronkoskopik ve radyolojik bulgular ve cerrahinin sonucu değerlendirildi. Bul gu lar: Öksürük en sık görülen semptom idi. Semptomların ortalama süresi, 5.49 yıl idi (dağılım, 6 ay-15 yıl). Otuz üç hastada bronşektazi, iki hastada akciğer çökmesi ve iki hastada total atelektazi cerrahi endikasyonu idi. Ameliyat sonrası mortalite gözlenmedi. Ortalama hastanede kalış süresi, 7.14 gün idi (dağılım, 5-13 gün). Ortalama takip süresi, 4 yıl idi (dağılım, 1-15 yıl). Cerrahi sonrasında enfeksiyon, öksürük ve mukus gözlenmedi. So nuç: Orta lob sendromunda iyileşmeyen pulmoner enfeksiyonlarda ve bronşiyal stenozda lobektomi endikedir. Cerrahi sonrasında hastalar asemptomatik hale gelir. Anah tar söz cük ler: Bronşektazi; orta lob sendromu; pnömoni. Background: This study aims to evaluate the efficacy middle lobe syndrome (MLS) surgery in patients with recurrent pulmonary infections. Methods: We retrospectively reviewed 37 cases (19 females, 18 males; mean age 12.3 years; range 6 to 55 years) who underwent surgery due to MLS in Dicle University, Faculty of Medicine, Department of Thoracic Surgery between January 1994 and January 2011. The underlying etiology, symptoms of the disease, bronchoscopic and radiological findings, and the outcome of surgery were evaluated. Results: Coughing was the most common symptom. The mean duration of symptoms was 5.49 years (range, 6 months to 15 years). Indication for surgery was bronchiectasis in 33 cases, collapsed lungs in two case, and total atelectasis in two cases. No postoperative mortality was seen. The mean length of hospital stay was 7.14 days (range, 5 to 13 days). The mean follow-up was four years (range, 1 to 15 years). Infection, cough and mucus were absent after surgery. Conclusion: In MLS, lobectomy is indicated for unresolving pulmonary infections and bronchial stenosis. Patients become asymptomatic following surgery.

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“…The middle lobe syndrome is a distinct clinical entity [1, 2]. The obstructive type is caused by external compression, while the nonobstructive type is associated with inflammation and bronchiectasis [3].…”

Section: Discussionmentioning

confidence: 99%

Improvement in Right Lung Atelectasis (Middle Lobe Syndrome) following Administration of Low-Dose Roxithromycin

Kawamura

Arai²,

Tani³

2001

Respiration

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Middle lobe syndrome is a distinct clinical entity characterized by right middle lobe atelectasis. Prompt diagnosis and initiation of medical therapy including the administration of antibiotics and the avoidance of irritating agents may be effective. However, abnormal shadows on chest radiography remain unchanged even when acute symptoms have disappeared, suggesting latent lesional inflammation or recurrence. We describe 2 cases of atelectasis in the middle lobe of the right lung which resolved completely after administration of low-dose roxithromycin. Thus, low-dose therapy with a macrolide could be of interest or some value in these cases, but it is too early to draw a definite conclusion.

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Clinical Findings in Middle Lobe Syndrome and Other Processes of Pulmonary Shrinkage in Children (AtelectasisSyndrome)*

Cited by 12 publications

References 0 publications

Resection of the Right Middle Lobe and Lingula in Children for Middle Lobe/Lingula Syndrome

Resection of the Right Middle Lobe and Lingula in Children for Middle Lobe/Lingula Syndrome

Middle lobe syndrome: a retrospective analysis

Improvement in Right Lung Atelectasis (Middle Lobe Syndrome) following Administration of Low-Dose Roxithromycin

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