The comparison of therapeutic approaches for spontaneous pneumomediastinum Spontan pnömomediastinumda tedavi yaklaşımlarının karşılaştırılması
Turkiye Klinikleri Journal of Medical Sciences, cilt.36, sa.1, ss.30-35, 2016 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 36 Sayı: 1
- Basım Tarihi: 2016
- Doi Numarası: 10.5336/medsci.2015-48575
- Dergi Adı: Turkiye Klinikleri Journal of Medical Sciences
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.30-35
- Anahtar Kelimeler: Diagnostic, Mediastinal emphysema, Pneumomediastinum, Surgery
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Spontaneous pneumomediastinum (SPM) is defined as the presence of air in the mediastinum that develops in the absence of traumatic, iatrogenic, or preceding pulmonary pathologies. In this study, the etiology of SPM patients who developed clinical course were evaluated, and compared the effectiveness of treatment modalities in these cases. Material and Methods: A retrospective case series was conducted to identify adult patients with SPM who were diagnosed and treated between January 2011 and December 2014. Results: Eleven patients were identified included 10 men and 1 women with a mean age of 21.09 years. The most common presenting complaint was chest pain in 8 patients, dyspnea in 5, swellings of their necks in 3.Cases While cervical mediastinotomies were perfomed in 5 cases, conservative approaches were preferred in 6 of the cases. Although hospital stays of the patients with cervical mediastinotomies and those who received conservative treatment were not significantly different), the patients with cervical mediastinotomies showed a more rapid clinical improvement. Conclusion: SPM is a benign process primarily affecting young men. SPM should be considered in the differential diagnosis of acute chest pain. A cervical mediastinotomy helps to improve the patient’s clinical status via a rapid air decompression.