Radiology, histology and short‐term outcome of asymptomatic congenital thoracic malformations

Kongstad, Thomas; Buchvald, Frederik; Brenøe, Jørn; Petersen, Bodil Laub; Tabor, Ann; Nielsen, Kim G.

doi:10.1111/j.1651-2227.2011.02471.x

Cited by 6 publications

(1 citation statement)

References 23 publications

(33 reference statements)

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“…Postnatal follow-up should also include the evaluation of associated congenital anomalies and here a CT scan is generally the choice [61,62]. In asymptomatic patients, a CT scan is advised during the first 3 months of life.…”

Section: Diagnosismentioning

confidence: 99%

Prenatal and Postnatal Management of Congenital Pulmonary Airway Malformation

2016

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Congenital pulmonary airway malformation (CPAM) is one of the most common lung lesions detected prenatally. Despite the research efforts made in the past few years, controversy and lack of clarity in the literature still exist regarding nomenclature, classification, pathogenesis and the management of CPAM. Therefore, it is of greatest importance to delineate the natural history of CPAMs and to create a consensus to guide the management and follow-up of these lesions. This review will focus on classification systems, highlighting the most recent advancements in pathogenesis, and current practice in the prenatal diagnosis of CPAM. Strategies of prenatal management and postnatal management will be reviewed. Long-term follow-up, including lung cancer risk, is discussed and an outcome perspective is presented.

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Section: Diagnosismentioning

confidence: 99%

Prenatal and Postnatal Management of Congenital Pulmonary Airway Malformation

2016

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Optimal age for elective surgery of asymptomatic congenital pulmonary airway malformation: a meta-analysis

Sullivan

Haworth

et al. 2017

Pediatr Surg Int

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Controversy exists on the optimal age for elective resection of asymptomatic congenital pulmonary airway malformation. Current recommendations vary widely, highlighting the overall lack of consensus. A systematic search of Embase, MEDLINE, CINAL, and CENTRAL was conducted in January 2016. Identified citations were screening independently in duplicate and consensus was required for inclusion. Results were pooled using inverse variance fixed effects meta-analysis. Meta-analysis results indicate no statistically significant differences for complications within the 3-month and 6-month age comparison groups [odds ratio (OR) 4.20, 95% confidence interval (CI) 0.78-22.77, I = 0%; OR 2.39, 95% CI 0.63-9.11, I = 0%, respectively]. Older patients were significantly favoured for 3-month and 6-month age comparison groups for length of hospital stay [mean difference (MD) 4.13, 95% CI 2.31-5.96, I = 0%; MD 3.38, 95% CI 0.44-6.31, I = 0%, respectively]. Borderline statistical significance was observed for chest tube duration in patients ≥6 months of age (MD 1.06, 95% CI 0.02-2.09, I = 0%). No mortalities were recorded. Surgical treatment appears to be safe at all ages, with no mortalities and similar rates of complications between age groups. The included evidence was not sufficient to make a conclusive recommendation on optimal age for elective resection.

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Treatment of congenital pulmonary airway malformations: a systematic review from the APSA outcomes and evidence based practice committee

et al. 2017

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Radiology, histology and short‐term outcome of asymptomatic congenital thoracic malformations

Abstract: Elective surgery at 1 year of age is safe and carries no apparent risk to asymptomatic children with CTM. The rate of complications was equal to that reported in a recent review and meta-analysis.

Cited by 6 publications

References 23 publications

Prenatal and Postnatal Management of Congenital Pulmonary Airway Malformation

Prenatal and Postnatal Management of Congenital Pulmonary Airway Malformation

Optimal age for elective surgery of asymptomatic congenital pulmonary airway malformation: a meta-analysis

Treatment of congenital pulmonary airway malformations: a systematic review from the APSA outcomes and evidence based practice committee

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