{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:44:32Z","timestamp":1787013872660,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,12,31]],"date-time":"2021-12-31T00:00:00Z","timestamp":1640908800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Management of teenagers with primary spontaneous pneumothorax (PSP) is not consensual. We report our experience over an 11\u2010year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>For each patient under 20\u00a0years hospitalised with PSP from 2008 to 2018, demographic data, smoking habits, clinical presentation, hospitalisation unit, radiological management and its results, therapeutic management (observation, needle aspiration, chest tube drainage and surgery), complications, length of stay, given advice at discharge and recurrence were collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seventy patients were included in different paediatric or adult surgery or pulmonology wards (82.9% boys; 16.8\u00a0\u00b1\u00a01.7\u00a0years; one severe presentation; 18\/58\u00a0smokers). Chest CT\u2010scan (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a042\/70, 60%) revealed blebs\/bullae in 18\/39 examinations (46.2%). Treatment consisted of observation (14\/70, 20%), needle aspiration (2\/70, 2.9%), chest tube (53\/70, 75.7%) and video\u2010assisted thoracoscopy surgery (27\/70, 38.6%). Half patients with interventional procedure presented complications. A median of 10 chest X\u2010rays was noted during a median stay of 8\u00a0days. Advice concerning sport practice, flying, smoking, etc., was variably delivered. PSP recurrence concerned 35\/70 patients (50%) without identified predictive factors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Compared to recent recommendations of a more conservative approach, chest CT\u2010scan and interventional strategy are overused in our teenagers with PSP. Observation, more or less needle aspiration, should be clearly the first\u2010line treatments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.16223","type":"journal-article","created":{"date-parts":[[2021,12,19]],"date-time":"2021-12-19T11:54:29Z","timestamp":1639914869000},"page":"845-849","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Management of primary spontaneous pneumothorax in teenagers: An\u00a011\u2010year study"],"prefix":"10.1111","volume":"111","author":[{"given":"Eve","family":"Benha\u00efm","sequence":"first","affiliation":[{"name":"Unit\u00e9 de Pneumologie P\u00e9diatrique Centre Hospitalo\u2010Universitaire (CHU) Timone\u2010Enfants  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brimbelle","family":"Roth","sequence":"additional","affiliation":[{"name":"D\u00e9partement de Sant\u00e9 Publique Centre Hospitalo\u2010Universitaire (CHU) de la Conception  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrice","family":"Michel","sequence":"additional","affiliation":[{"name":"Unit\u00e9 d\u2019Anesth\u00e9sie\u2010R\u00e9animation P\u00e9diatrique Centre Hospitalo\u2010Universitaire (CHU) Timone\u2010Enfants  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thierry","family":"Merrot","sequence":"additional","affiliation":[{"name":"D\u00e9partement de Chirurgie Visc\u00e9rale P\u00e9diatrique Centre Hospitalo\u2010Universitaire (CHU) Timone\u2010Enfants  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2078-4140","authenticated-orcid":false,"given":"Jean\u2010Christophe","family":"Dubus","sequence":"additional","affiliation":[{"name":"Unit\u00e9 de Pneumologie P\u00e9diatrique Centre Hospitalo\u2010Universitaire (CHU) Timone\u2010Enfants  Marseille France"},{"name":"Aix Marseille Universit\u00e9 IRD AP\u2010HM MEPHI IHU\u2010M\u00e9diterran\u00e9e Infection  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,31]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/1690482"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/emp2.12449"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.136986"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-015-3787-8"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/pxz032"},{"key":"e_1_2_9_7_1","first-page":"S1526\u20100542(21)0","article-title":"Update in management of paediatric primary spontaneous pneumothorax","author":"Lieu N","year":"2021","journal-title":"Paediatr Respir Rev"},{"key":"e_1_2_9_8_1","first-page":"2021","article-title":"Fifteen\u2010minute consultation: a structured approach to a child with primary spontaneous 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