ArticleThe Korean journal of thoracic and cardiovascular surgery2019
Do Blebs or Bullae on High-Resolution Computed Tomography Predict Ipsilateral Recurrence in Young Patients at the First Episode of Primary Spontaneous Pneumothorax?
Article in The Korean journal of thoracic and cardiovascular surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Meta-analysis of the association between emphysematous change on thoracic computerized tomography scan and recurrent pneumothorax.QJM : monthly journal of the Association of Physicians · 2022Pooled it
- Biomechanical characterization of human lung bullae using uniaxial tensile tests and CT-derived geometry-specific finite element analysis.Frontiers in physiology · 2026Article
- Prediction of ipsilateral and contralateral pneumothorax using a simple chest X-ray.Journal of thoracic disease · 2025Article
- Predictors of Contralateral Recurrence in Patients With Primary Spontaneous Pneumothorax.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2025Article
- CT features associated with contralateral recurrence of spontaneous pneumothorax.QJM : monthly journal of the Association of Physicians · 2024Article
- An evidence-based review of primary spontaneous pneumothorax in the adolescent population.Journal of the American College of Emergency Physicians open · 2021Review
- Is conventional management of primary spontaneous pneumothorax appropriate?General thoracic and cardiovascular surgery · 2021Article
- To resect, or not to resect: that is the question….Journal of thoracic disease · 2020Article
- [Recurrence score to predict the risk of recurrence after first episode of primary spontaneous pneumothorax].The Pan African medical journal · 2020Article
- Expert consensus on spontaneous ventilation video-assisted thoracoscopic surgery in primary spontaneous pneumothorax (Guangzhou).Annals of translational medicine · 2019Article
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Authors and funding
7 authors.
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Abstract
backgroundThe relationship between the size of bullae and pneumothorax recurrence is controversial. The aim of this study was to retrospectively evaluate the role of blebs or bullae in predicting ipsilateral recurrence in young patients experiencing their first episode of primary spontaneous pneumothorax (PSP) who underwent conservative treatment.
methodsA total of 299 cases of first-episode PSP were analyzed. The status of blebs or bullae was reviewed on high-resolution computed tomography (HRCT). The dystrophic severity score (DSS; range, 0 to 6 points) was calculated based on HRCT.
resultsThe 5-year recurrence rate was 38.2%. In univariate analysis, age (<20 years), body mass index (<20 kg/m
conclusionThe presence, number, and size of blebs or bullae did not affect ipsilateral recurrence. DSS failed to show a positive correlation between severity and recurrence. The decision to perform surgery in patients experiencing their first episode of PSP should not be determined by the severity of blebs and bullae.
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