• Some common forms of thoracotomies include: Posterolateral thoracotomy is the most common and traditional approach for gaining access to the chest. (wikipedia.org)
  • Another variant is the "muscle sparing posterolateral thoracotomy" which preserves the Lattisimus Dorsi and Serratus muscles. (wikipedia.org)
  • Right posterolateral thoracotomy was found to have dilated the right lower lobe bronchi in relation to calcified subcarinal adenopathy fistulated in the right lower lobe bronchus, with inflammatory magma enclosing the fistula-free esophagus of the latter. (scirp.org)
  • After a normal preoperative check-up, she was referred to the block where a right posterolateral thoracotomy was performed. (scirp.org)
  • A thoracotomy was then performed through a standard right posterolateral thoracotomy incision. (virtualpediatrichospital.org)
  • Posterolateral thoracotomy is the standard workhorse for most thoracic surgeons. (mhmedical.com)
  • Similarly, the intensity of pain within the first days after thoracotomy predicts long-term post-thoracotomy pain [ 6 ]. (biomedcentral.com)
  • The patient had undergone repair for thoracoabdominal aortic aneurysm four years prior and underwent a series of intercostal nerve blocks after experiencing persistent post-thoracotomy pain. (iasp-pain.org)
  • An evidence-based approach to patient selection for emergency department thoracotomy: A practice management guideline from the Eastern Association for the Surgery of Trauma. (medscape.com)
  • Since its introduction in 1900, the emergency department thoracotomy (EDT) has been a subject of intense debate. (medscape.com)
  • Pain following a thoracotomy may be treated by the use of a nerve block known as a rhomboid intercostal block. (wikipedia.org)
  • There is some evidence that decompression in the midaxillary line, 2nd intercostal space often fails with standard cannulas due to chest wall thickness and that the anterior/midaxillary line, 5th intercostal space may be more reliable. (otago.ac.nz)
  • Before needling the chest (2nd intercostal space, midclavicular line with an 18 or 20G catheter over the needle) review the evidence for a tension pneumothorax. (hawaii.edu)
  • An extended fifth intercostal space thoracotomy was then made, and a costotome was used to cut the sixth rib posteriorly. (ctsnet.org)
  • Under general anaesthesia, left thoracotomy was done through 6th intercostal space and plication of left dome of diaphragm was done. (pediatriconcall.com)
  • For some heart defect repairs, the incision is made on the side of the chest, between the ribs. (medlineplus.gov)
  • The mesh is sutured to the chest wall with nine sutures placed through the patch and between the ribs. (bcm.edu)
  • The sternum is not broken during a mini-thoracotomy procedure as the access points are through the patient's ribs. (heart-valve-surgery.com)
  • You may also have one or more chest tubes inserted between your ribs that drains blood, fluid, and air from your chest cavity after surgery. (dignityhealth.org)
  • Flail Chest is a traumatic chest injury defined as segmental fractures of 3 or more ribs and is often associated with pulmonary injuries such as hemothorax and pneumothorax. (orthobullets.com)
  • Robotic thoracic surgery allows surgeons to remove masses in and around the chest using just a few small incisions between the patient's ribs. (gwdocs.com)
  • During a traditional lobectomy to remove a cancerous lobe of the lung, surgeons make a long incision following the ribs and then separate the ribs (and may remove a portion of a rib) to gain access to the chest cavity. (gwdocs.com)
  • Initial chest CT obviates the need for repeat chest radiograph after penetrating thoracic trauma. (medscape.com)
  • A chest radiograph and computed tomographic scan showed multiple, small lesions in both lungs. (cdc.gov)
  • Silvestri L, Gullo A. Pre-operative chest radiograph. (rcr.ac.uk)
  • Patients may also be asymptomatic, with evidence of a pleural effusion noted incidentally on physical examination or by chest radiograph. (medscape.com)
  • A chest radiograph is obtained. (hawaii.edu)
  • A thoracotomy is the first step in thoracic surgeries including lobectomy or pneumonectomy for lung cancer or to gain thoracic access in major trauma. (wikipedia.org)
  • The Clamshell incision or bilateral anterior thoracotomy with transverse sternotomy is the incision of choice for bilateral lung transplantation. (wikipedia.org)
  • Furthermore, complications such as pleural effusion or hemothorax can occur if the chest tubes fail to drain the fluid around the lung in the pleural space after a thoracotomy. (wikipedia.org)
  • Once the chest cavity is entered, the lung is collapsed and the entire pleural cavity is examined. (medscape.com)
  • Once the lung is expanded, one or two chest tubes should be placed: one in the apex (size 20) and one in the base (size 28). (medscape.com)
  • During the procedure the surgeon makes an incision and exposes of the space between the lung and the chest wall. (bcm.edu)
  • Next they separate the tumor from the chest wall and then resect the lung, pleura, pericardium and diaphragm en bloc (in one piece) dividing the arteries, veins and bronchi that connect the lung to the heart. (bcm.edu)
  • Daily chest radiographs are obtained to assess mediastinal position and surveillance for infiltrates in the remaining lung. (bcm.edu)
  • Lung cancer is usually first found on a chest X-ray or a CT scan . (healthwise.net)
  • For example, when cancerous tissue is to be removed from the lung, thoracotomy allows a surgeon to see and remove as much of it as possible. (merckmanuals.com)
  • An incision is made in the chest wall, and tissue samples of the lung are removed for microscopic examination. (merckmanuals.com)
  • Chest Tube Insertion Chest tube insertion (also called tube thoracostomy) is a procedure in which a tube is inserted into the space between the lung and chest wall (called the pleural space). (merckmanuals.com)
  • There are indeed lung markings throughout the left chest (These are evident on the original film, but it was very difficult to reproduce this on the scanned image). (hawaii.edu)
  • If this patient's emphysema becomes life-threatening (which may happen rapidly if positive pressure is applied) the only treatment would be a lateral thoracotomy to allow the lung to herniate out of the chest. (hawaii.edu)
  • We offer highly-specialized, surgical treatment that addresses a wide range of health conditions that affect the lung, esophagus, chest wall, mediastinum, and tissues located between the sternum and vertebral column. (gwdocs.com)
  • Thoracotomy provides the physicians with an insightful view of the lung and surrounding tissue. (gwdocs.com)
  • One or more chest tubes-with one end inside the opened pleural cavity and the other submerged under saline solution inside a sealed container, forming an airtight drainage system-are necessary to remove air and fluid from the pleural cavity, preventing the development of pneumothorax or hemothorax. (wikipedia.org)
  • Introduction: Chest tube thoracostomy (CTT) is defined as the insertion of a chest tube into the pleural cavity to drain air, blood, bile, pus, or other fluids. (mak.ac.ug)
  • A thoracotomy is performed if the disease is contained in the chest cavity. (bcm.edu)
  • Hemothorax is defined as blood within the chest cavity. (petplace.com)
  • The most common cause of hemothorax in dogs is chest trauma, although tumors within the thorax (chest cavity) can also result in a hemothorax if they rupture, slowly bleed or invade into a blood vessel causing blood to accumulate in the thorax. (petplace.com)
  • Coagulopathies (clotting disorders) may also cause an animal to bleed within the chest cavity. (petplace.com)
  • Thoracentesis (inserting a needle and syringe into the chest cavity through the skin) to obtain a sample of fluid for definitive diagnosis. (petplace.com)
  • Thus, animals may only have a small amount of blood present in the chest cavity. (petplace.com)
  • The pleura is a thin membrane that surrounds the lungs and lines the chest cavity. (yourcancercare.com)
  • The pleura consists of a visceral surface, which covers the lungs and a parietal surface, which lines the walls of the chest cavity and covers the upper surface of the diaphragm and lungs. (yourcancercare.com)
  • There is normally a very small amount of watery fluid within the pleural cavity that lubricates the pleural surfaces and allows the lungs to move freely over the inner surface of the chest wall during breathing. (yourcancercare.com)
  • Appreciate the necessity for emergent surgical intervention in certain chest trauma conditions. (saem.org)
  • Unstable chest trauma patients may show signs of severe respiratory distress or profound shock requiring emergent resuscitation. (saem.org)
  • Unstable chest trauma patients can also deteriorate to the point of traumatic arrest and depending on the mechanism of chest trauma, may be candidates for an emergent ED thoracotomy. (saem.org)
  • Emergent thoracotomy typically takes place in the emergency department or operating room. (medscape.com)
  • Emergent thoracotomies have been successfully performed in the prehospital setting by physicians and emergency medical service teams. (medscape.com)
  • Approximately 16,000 deaths per year in the United States alone are attributable to chest trauma. (medscape.com)
  • Any organ within the chest is potentially susceptible to penetrating trauma, and each should be considered in the evaluation of a patient with thoracic injury. (medscape.com)
  • The increased prevalence of penetrating chest injury (associated with the "drug war" in the United States) and improved prehospital and perioperative care have resulted in an increasing number of critically injured but potentially salvageable patients presenting to trauma centers. (medscape.com)
  • Current management of penetrating chest trauma (PCT) is a hurried, brute-force approach necessitated by the life-threatening nature of many of these injuries. (medscape.com)
  • Epidemiology of chest trauma. (medscape.com)
  • Onat S, Ulku R, Avci A, Ates G, Ozcelik C. Urgent thoracotomy for penetrating chest trauma: analysis of 158 patients of a single center. (medscape.com)
  • Mandavia DP, Joseph A. Bedside echocardiography in chest trauma. (medscape.com)
  • 63.3% of chest pathology was due to trauma while 36.7 % was none traumatic. (mak.ac.ug)
  • Diagnose, resuscitate, stabilize and manage chest trauma patients. (saem.org)
  • Identify common pathophysiologic conditions occurring in chest trauma patients. (saem.org)
  • Describe the components of a primary survey in a chest trauma patient. (saem.org)
  • List commonly utilized imaging modalities in chest trauma. (saem.org)
  • Discuss the eventual disposition of chest trauma patients based on their diagnosis. (saem.org)
  • Chest trauma accounts for approximately 25% of mortality in trauma patients.1,2 This rate is much higher in patients with polytraumatic injuries. (saem.org)
  • 85-90% of chest trauma patients can be rapidly stabilized and resuscitated by a handful of critical procedures. (saem.org)
  • For this reason, emergency medicine providers should be prepared to appropriately evaluate, resuscitate and stabilize any patient with chest trauma. (saem.org)
  • In patients who are awake and lucid, the chest trauma may present with chest pain, dyspnea, back or abdominal pain, and occasionally syncope. (saem.org)
  • There is considerable overlap amongst the various traumatic disorders experienced in both penetrating and blunt chest trauma. (saem.org)
  • However, in comparison to penetrating trauma, blunt chest trauma patients may have a more subtle presentation with less obvious physical exam findings. (saem.org)
  • Chest trauma patients can present to the ED via Emergency Medical Services (EMS), often placed on a backboard and in a cervical collar. (saem.org)
  • Blunt chest trauma is a rare cause of acquired benign airway stenosis. (archbronconeumol.org)
  • In many cases of hemothorax due to chest trauma, the bleeding will stop on it's own. (petplace.com)
  • Thoracotomy in Blunt Trauma: What's the Harm? (medscape.com)
  • Traditional teaching has been that the thoracotomy has a reasonable chance of success in cases of penetrating chest trauma , but the success rate in blunt trauma is abysmal and therefore not indicated. (medscape.com)
  • What's the harm in just trying the thoracotomy in every traumatic arrest, including those associated with blunt trauma? (medscape.com)
  • The authors performed a structured review of 27 articles focused on ED or out-of-hospital thoracotomy for blunt trauma. (medscape.com)
  • The authors conclude, "There may be a role for ED thoracotomy after blunt trauma-in a limited group of patients. (medscape.com)
  • They propose a guideline for patients with blunt trauma in whom providers should "consider" performing an ED thoracotomy when cardiac arrest/CPR has not been prolonged, in the absence of "obvious head injury that is incompatible with good outcome," and when "there is appropriately experienced and skilled staff available. (medscape.com)
  • Nevertheless, the trauma surgeon offered to walk me through a thoracotomy. (medscape.com)
  • Left anterolateral thoracotomy is the incision of choice for open chest massage, a critical maneuver in the management of traumatic cardiac arrest. (wikipedia.org)
  • This CXR shows hyperlucency of the left chest with a mediastinal/cardiac shift to the right. (hawaii.edu)
  • The causes of acute circulatory arrest after chest injury include hemorrhagic shock due to injury to the heart or intrathoracic vasculature, cardiac tamponade, and tension pneumothorax. (medscape.com)
  • When to Stop Chest Compressions After Prehospital Traumatic Cardiac Arrest. (bvsalud.org)
  • Good outcomes have been achieved for patients who had vital signs on admission and for patients who received an ED thoracotomy within 15 minutes of cardiac arrest. (medscape.com)
  • The diaphragm (the muscle that raises and lowers during breathing) attachments to the chest wall are cauterized or pulled away. (bcm.edu)
  • The diaphragm and pericardium are reconstructed with synthetic mesh material such as Gore-Tex. The mesh is formed to the chest wall with a fold in it to create a loose area at the center to reduce tension along the suture line and the chance of herniation. (bcm.edu)
  • Attempts at diminishing morbidity of an open thoracotomy resulted in formulation of video assisted plication, & even a laparoscopic approach where excess diaphragm was excised with an endostapler. (sages.org)
  • Thus, as the chest or diaphragm expand, the lungs expand passively as well. (petplace.com)
  • As the pleura was tightly adherent to the diaphragm muscle, the only reasonable method of preserving integrity of chest wall mechanics without compromising surgical outcomes was by excising the diaphragm enbloc and reconstructing it. (ctsnet.org)
  • We report a 3 year old boy who presented with recurrent chest infections with left diaphragm eventration treated by plication successfully. (pediatriconcall.com)
  • 1) We report a 3 years old boy who presented with recurrent chest infections with left diaphragm eventration treated by plication successfully. (pediatriconcall.com)
  • Chest X-ray showed bilateral bronchopneumonia with raised dome of left diaphragm and mediastinal shift to right side. (pediatriconcall.com)
  • CTT is the most commonly performed lifesaving surgical procedure in thoracic surgery with the indication in the management of traumatic and non-traumatic chest pathologies. (mak.ac.ug)
  • Pretreatment upper GI endoscopy, endoscopic ultrasound (EUS), and CT chest and abdomen with IV contrast were performed to clinically stage the disease. (hindawi.com)
  • While a recent meta-analysis concluded that operative fixation of complicated flail chest provided a better outcome [ 8 ], the impact of surgery on pain in case of uncomplicated rib fractures is seldom studied. (biomedcentral.com)
  • A chest film taken at that time showed over inflation of the right upper lobe. (virtualpediatrichospital.org)
  • A chest film from the day of admission showed hyperinflation of the right upper lobe. (virtualpediatrichospital.org)
  • A repeat chest film from one day later showed probable increasing hyperinflation of the right upper lobe. (virtualpediatrichospital.org)
  • Upon opening the chest, a very large right upper lobe was encountered and was allowed to herniate out through the incision, thus decompressing the other intrathoracic structures. (virtualpediatrichospital.org)
  • This is most commonly needed with penetrating chest wounds or bleeding tumors. (petplace.com)
  • In the long term, post-operative chronic pain can develop, known as thoracotomy pain syndrome, and may last from a few years to a lifetime. (wikipedia.org)
  • A recent Cochrane review concluded that there is moderate-quality evidence that regional anaesthesia may reduce the risk of developing persistent postoperative pain three to 18 months after thoracotomy. (wikipedia.org)
  • A 21-year-old male presents to the ED by ambulance with complaints of chest pain and shortness of breath that began after he was involved in an altercation outside of a gas station. (saem.org)
  • He was admitted to the hospital with weight loss, night sweats, chest pain, and coughing. (cdc.gov)
  • Intermittent cough and chest pain remained, possibly due to scar tissue and the remains of the nymphs. (cdc.gov)
  • Other signs may include chest pain and blood in mucus that is coughed up. (healthwise.net)
  • Chest, shoulder, or back pain that doesn't go away and often gets worse with deep breathing. (healthwise.net)
  • Dyspnea and nonpleuritic chest wall pain are the most common presenting symptoms of malignant pleural mesothelioma, with at least 1 of these occurring in 60-90% of patients. (medscape.com)
  • The majority of patients with malignant pleural mesothelioma experience shortness of breath and a third of patients experience chest pain. (yourcancercare.com)
  • Robotic and/or endoscopic procedures often allow patients to recover faster and endure less post-surgical pain, compared to traditional open chest surgery. (gwdocs.com)
  • Chest tube thoracotomy indications and early complications among patients with chest pathology at Mulago National Referral Hospital: a cohort study. (mak.ac.ug)
  • The objective of the study: To determine the indications of CTT, early chest tube thoracostomy complications, and associated risk factors among chest pathology patients in MNRH. (mak.ac.ug)
  • In areas where adherent pulmonary plaques remained, or areas where localized disease on the chest wall was removed, LASER was useful for ablation. (ctsnet.org)
  • Thoracotomy is an operation in which the chest wall is opened to view the internal chest organs, to obtain samples of tissue for laboratory examination, and to treat disorders of the lungs, heart, or major arteries. (merckmanuals.com)
  • Mediastinoscopy and Mediastinotomy Mediastinoscopy is the direct visual examination of the area inside the middle of the chest between the two lungs (the mediastinum) through a viewing tube (mediastinoscope). (merckmanuals.com)
  • During this procedure, a surgeon inserts a needle through the chest into the area suspected of cancer in order to remove a tissue sample for examination under the microscope. (yourcancercare.com)
  • Chest examination revealed decreased movements on left infra-mammary, infra-axillary, and infrascapular areas. (pediatriconcall.com)
  • The value of screening preoperative chest x-rays: a systematic review. (rcr.ac.uk)
  • The emergency department (ED) thoracotomy for traumatic arrest is one of the smost dramatic procedures in emergency medicine. (medscape.com)
  • In a normal animal the space between the lungs and the inner chest wall is called the pleural space. (petplace.com)
  • Prolonged chest tube was required in three patients (persistent leak in two and collection in one patient). (nepjol.info)
  • As you can see above, there are similarities in the types of scars that resut from a robot and mini-thoracotomy approaches as several different ports are used during these procedures which can be very effective and reduce the scar size. (heart-valve-surgery.com)
  • Before surgery is performed MRI and CT scans of the chest are done and in some cases exploratory surgery, to determine the extent of disease and to rule out mediastinal invasion and other contraindications. (bcm.edu)
  • Pre-operative chest radiographs prior to elective surgery. (rcr.ac.uk)
  • Many pre-operative chest radiographs contribute little to patient management in elective surgery. (rcr.ac.uk)
  • In post-natal, the radiological approach based on chest x-ray and CT scan, is helpful for establishing the diagnosis and lead to a prompt curative surgery. (bmj.com)
  • Emergency thoracotomy (chest surgery) is occasionally required if the bleeding cannot be stopped and the clotting tests are normal. (petplace.com)
  • He was in surgery for four hours and it was one of the most complicated surgeries I have ever seen," Mapplebeck said of the thoracotomy. (foxnews.com)
  • A thoracotomy is a major surgery, which involves opening the chest in order to remove a sample of tissue. (yourcancercare.com)
  • Chest surgery using robotic technology is a minimally invasive procedure which stations your surgeon at a console with a high-definition display. (gwdocs.com)
  • Pre-operative Chest Radiography: a National Study by the RoyalCollege of Radiologists. (rcr.ac.uk)
  • Audit of Requests for Pre-Operative Chest Radiography. (rcr.ac.uk)
  • Chest radiography is the most frequent and primary imaging modality in the intensive care unit (ICU), given its portability, rapid image acquisition, and availability of immediate information on the bedside preview. (bvsalud.org)
  • Anterolateral thoracotomy is performed upon the anterior chest wall. (wikipedia.org)
  • The Ashrafian thoracotomy was devised to give rapid access to the heart and pericardium through an incision that consists of an anterior thoracic incision followed in a vertical direction along the costo-chondral (rib-cartilage) junction. (wikipedia.org)
  • There is a large puncture wound to the right, upper anterior chest. (saem.org)
  • This was described as periodic rapid breathing with "deep caving" in of his anterior chest. (hawaii.edu)
  • Carefully examining the CXR using a hot light may prevent you from mistakenly needling the chest and causing a severe complication. (hawaii.edu)
  • A thoracotomy is a surgical procedure to gain access into the pleural space of the chest. (wikipedia.org)
  • Upon completion of the surgical procedure, the chest is closed. (wikipedia.org)
  • A thoracotomy is usually performed as an inpatient procedure, so you will be required to stay in the hospital overnight. (gwdocs.com)
  • It is crucial for the emergency provider to consult a surgeon upon the patient's arrival to facilitate with the procedure if possible or to manage the patient subsequent to the thoracotomy. (medscape.com)
  • During a thoracentesis, a needle is inserted through the chest wall into the pleural space in order to remove a sample of the fluid that surrounds the lungs in order to check for the presence of cancer cells. (yourcancercare.com)
  • B - D ) Noncontrast chest computed tomography scan showed an air-containing cystic lesion with an internal undulating and collapsed germinative membranes representing detached membranes of hydatid cyst. (ajtmh.org)
  • Disease progression can reach the mediastinum compressing the heart and lungs, causing severe respiratory failure and evolve into extremely severe sepsis and require emergency measures such as tracheotomy, abscess drainage and numerous pockets, open chest surgical drainage, the patient's hydration and an antimicrobial therapy which achieves both gram-positive and gram-negative bacteria and anaerobes. (bvsalud.org)
  • In 1635, Cabeza de Vaca first described operative removal of an arrowhead from the chest wall of a Native American. (medscape.com)
  • Palpation of crepitus over the chest wall may also be appreciated. (saem.org)
  • We also provide details of chest wall anatomy, with particular attention to structures that can be injured while developing the incision. (mhmedical.com)
  • A pleural effusion (fluid between the lungs and chest wall) is also present in the majority of patients. (yourcancercare.com)
  • A pseudoaneurysm in the descending thoracic graft, contiguous with the chest wall was encountered. (iasp-pain.org)
  • Next, an extrapleural dissection was made to remove the parietal pleura from the chest wall. (ctsnet.org)
  • This was continued anteriorly and posteriorly until the pleural had been fully detached from the chest wall. (ctsnet.org)
  • At times, localized deposits remain on the chest wall that, if not excised, can be harbingers of disease progression. (ctsnet.org)
  • This space is more of a potential space, since a vacuum is present and the lungs are always in close contact with the pleural (inner lining) surface of the chest. (petplace.com)
  • The intrathoracic volume of the infant's chest is so small and the mediastinum is so mobile that decreased ventilation due to free air compressing both lungs usually results in distant or faint breath sounds and decreased chest movement bilaterally, rather than the differential findings between the two sides seen in adults. (hawaii.edu)
  • Your thoracic surgeon will make an incision at the top of the breastbone, and insert a thin, lighted tube to see inside the chest. (gwdocs.com)
  • Clinicians should be on the look out for chest tube clogging as these tubes have a tendency to become occluded with fibrinous material or clot in the post operative period, and when this happens, complications ensue. (wikipedia.org)
  • The patient states that he was stabbed on the right side of his chest with an unknown object. (saem.org)
  • At no time should these chest tubes be clamped during transfer of the patient from the operating room (OR) to the recovery room or the intensive care unit (ICU). (medscape.com)
  • As shown below, Jim Englemann, a patient from our community , had his aortic valve replaced using a mini-thoracotomy. (heart-valve-surgery.com)
  • On fifth day, the patient underwent a right thoracotomy. (bmj.com)
  • The fact that this patient did not have impaired perfusion should make you refrain from needling the chest and examine the CXR more carefully. (hawaii.edu)
  • It is a drastic, last-ditch effort to save the life of a patient in extremis due to chest injury. (medscape.com)
  • The patient had been shot multiple times in the chest during a drug deal that went bad. (medscape.com)
  • By this point, the patient had been pulseless for more than 10-15 minutes and given the multiple entry wounds to the chest had almost no chance of survival. (medscape.com)
  • Affected individuals suffer from chest discomfort, respiratory compromise & recurrent respiratory infections. (sages.org)
  • It results from blunt injury which is often hidden for several months and may come to light during evaluation for other symptoms such as dyspepsia, vomiting, and discomfort in the chest or epigastric region. (news-medical.net)
  • Another type of minimally invasive approach to treat heart disease is called mini-thoracotomy. (heart-valve-surgery.com)
  • The chest X-ray showed vertebral anomalies in the midthoracic region, there was an hydric opacity occupying the 2:3 of the right side with deviation of the mediastinum to the left side. (bmj.com)
  • The chest had diffuse wheezes and occasional rales. (virtualpediatrichospital.org)
  • Breath sounds are faint throughout the chest, without auscultatory rales, wheezes, or stridor heard. (hawaii.edu)
  • It was conducted at MNRH focusing on patients with chest pathology and with chest tube thoracostomy. (mak.ac.ug)
  • The chest tube was removed by the second post operative day in 13/21 patients. (nepjol.info)
  • Recurrent chest infections are also the presenting complaints in patients. (pediatriconcall.com)
  • 1) Recurrent chest infections are the commonest presenting complaint in patients. (pediatriconcall.com)