{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:53:13Z","timestamp":1747187593003,"version":"3.40.5"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,6,27]],"date-time":"2021-06-27T00:00:00Z","timestamp":1624752000000},"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":["Pediatrics International"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Postoperative diaphragmatic paralysis is an unavoidable complication of cardiovascular surgery. Although diaphragmatic plication, as a surgical treatment, can be performed, spontaneous recovery is possible. We aimed to identify differences in fluorographic findings of diaphragmatic paralysis between pediatric patients with and without spontaneous recovery within 1\u00a0year of intrathoracic surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Ten children, who had been followed\u2010up for at least 1\u00a0year post\u2010surgery and who had not received diaphragmatic plication were included and classified into those with or without spontaneous recovery. The presence or absence of the paradoxical movement of the diaphragm and mediastinum was evaluated based on fluorographic findings. Fisher\u2019s exact test was used to compare the presence or absence of paradoxical movement between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eight patients experienced spontaneous recovery. The mean \u00b1 standard deviation time to spontaneous recovery was 150\u00a0\u00b1\u00a0114 days (range, 18\u2013338 days). In the spontaneous recovery group, no patient had paradoxical movement of the mediastinum, and a significant between\u2010group difference was observed in the presence of the paradoxical movement of the mediastinum (present\/absent in patients with vs. without spontaneous recovery: 0\/8 vs. 2\/0, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.02). There was no significant between\u2010group difference in paradoxical movement of the diaphragm (present\/absent in patients with vs. without spontaneous recovery: 1\/7 vs. 2\/0, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.07). Pediatric patients without paradoxical movement of the mediastinum spontaneously recovered within 1\u00a0year of intrathoracic surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Pediatric patients without paradoxical movement of the mediastinum, based on fluorography findings, spontaneously recovered within 1\u00a0year of surgery. The timing of spontaneous recovery varied between cases.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.14548","type":"journal-article","created":{"date-parts":[[2020,11,18]],"date-time":"2020-11-18T12:11:55Z","timestamp":1605701515000},"page":"895-902","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Fluorographic findings of diaphragmatic paralysis with spontaneous recovery"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9523-4077","authenticated-orcid":false,"given":"Takahiro","family":"Hosokawa","sequence":"first","affiliation":[{"name":"Department of Radiology Saitama Children\u2019s Medical Center Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saki","family":"Shibuki","sequence":"additional","affiliation":[{"name":"Department of Radiology Saitama Children\u2019s Medical Center Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutaka","family":"Tanami","sequence":"additional","affiliation":[{"name":"Department of Radiology Saitama Children\u2019s Medical Center Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yumiko","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Radiology Saitama Children\u2019s Medical Center Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihiro","family":"Ko","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Saitama Children's Medical Center Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Nomura","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Saitama Children's Medical Center Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiji","family":"Oguma","sequence":"additional","affiliation":[{"name":"Department of Radiology Saitama Children\u2019s Medical Center Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,6,27]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001015"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-006-1663-2"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.issn.0366-6999.20131173"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)61954-6"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100040\u20101715483"},{"issue":"12","key":"e_1_2_7_7_1","first-page":"1402","article-title":"Paralysis of the diaphragm","volume":"129","author":"Greene W","year":"1975","journal-title":"Am. 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