Lung hernias in children

doi:10.1016/0022-3468(68)90104-8

Journal of Pediatric Surgery

Volume 3, Issue 5, October 1968, Pages 544-550

https://doi.org/10.1016/0022-3468(68)90104-8 Get rights and content

Abstract

Most lung hernias in children are congenital and require no therapy. The most common site of occurrence is cervical. Indications for surgery include rapid increase in size, history of incarceration, unrelenting respiratory distress, and severe cosmetic disability. The preferred technic for surgical correction of cervical hernias is transthoracic and includes excision of the sac and reinforcement of Sibson's fascia with Marlex mesh extrapleurally. Large chest wall defects are approached directly and correction includes excision of the sac and reinforcement of the defect by periosteal and rib flaps from above and below.

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Cited by (13)

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Neck lesions are common in infancy and childhood. Most are benign, congenital, or inflammatory lesions but many require surgical excision because of potential infectious complications. Differentiation of the less acntely inflamed lymphadenopathies from neoplastic lesions such as Hodgkin's lymphoma and non-Hodgkin's lymphoma becomes more significant in the older child and adolescent. Nevertheless, if a clearly defined congenital or infectious cause cannot be demonstrated, neoplasia must be ruled out by histopathologic evaluation of biopsy material.
Cervical lung herniation associated with upper airway obstruction
1990, Annals of Emergency Medicine
We present the case of a 6-year-old boy with reactive airway disease who developed cervical lung herniation resulting in compression of the trachea and audible stridor. This association has never been reported in the pediatric age group, and a review of the literature revealed that lung herniation is a rare condition in the pediatric population. Most patients are asymptomatic. Herniation occurs in the cervical area in approximately one fourth of patients. The diagnosis is usually made by physical examination and confirmed by radiographic studies. Treatment is seldom necessary; most patients require only education and reassurance. Surgical intervention is indicated when respiratory distress, cosmetic concerns, or progressive increase in size occur.
Giant cervical herniation of an apical pulmonary bulla
1987, Journal of Thoracic and Cardiovascular Surgery
Cervical hernia of the lung
1970, The Journal of Pediatrics
Apical lung herniation
2011, Thorax
'There's a frog in my throat': Bilateral prolapsing lung apices presenting as a neck lump
2021, Annals of the Royal College of Surgeons of England

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¹: Clinical Instructor in Pediatric Surgery, Albert Einstein College of Medicine; Clinical Instructor in Pediatric Surgery, State University College of Medicine, Downstate Division.

²: Attending-in-Charge, Pediatric Surgery, Meadowbrook Hospital; Consultant in Pediatric Surgery, Hospital for Joint Diseases and Medical Center and Staten Island Public Health Hospital; Associate Attending, Pediatric Surgery, French Hospital, New York City.

³: Clinical Professor in Radiology, Albert Einstein College Hospital; Chairman, Department of Radiology, Long Island Jewish Hospital; Radiologist-in-Chief, Queens Hospital Center, Long Island Jewish Hospital Affiliation.

⁴: Clinical Instructor in Pediatric Surgery, Albert Einstein College of Medicine; Clinical Instructor in Pediatric Surgery, State University College of Medicine, Downstate Division.

View full text

Lung hernias in children

Abstract

J. Thorac. Surg.

Lancet

J. Thorac. Surg.

De volmonis sanaripot., Liber III (Cap) XXV

Cervical hernias

J. Thorac. Surg.

Hernies du pouman. Bull. et mem

Soc. de Chir. de Par.

Ueber Lungerhenien Deutsche Ztschr. f. Chir.