Table 1 Review of literature
From: Bilateral congenital lobar emphysema: a rare entity and a therapeutic challenge
S.No. | Author | No.Of patients | Age/Sex | Lobes involved | CT Scan | Bronchoscopy | Treatment Done | Survival | Radionuclide scanning | SURGICAL DECISION BASED UPON | TREATED BEFORE AS | Intervention done before referral |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Floyd et al | one | NA | RML/LUL | NA | NA | Bilateral lobectomy done months apart | Survived | NA | NA | NA | NA |
2 | May et al | one | NA | RML/LUL | NA | NA | Bilateral lobectomy done months apart | Survived | NA | NA | NA | NA |
3 | Schramel et al. | one | NA | RML/LUL | NA | NA | One staged bilateral lobectomy | Survived | NA | NA | NA | NA |
4 | Tournier et al. | one | NA | RML/LUL | NA | NA | One staged bilateral lobectomy | Survived | NA | NA | NA | NA |
5 | Ekkelkamp and Vos | one | NA | RML/LUL | NA | NA | One staged bilateral lobectomy | Survived | NA | NA | NA | NA |
6 | Schiller et al | one | NA | RML/RLL/LLL | NA | NA | Died before surgery | Died | None | NA | NA | NA |
7 | Stigers et al | two | NA | RML/LLL | NA | NA | Unilateral lobectomy | Survived | None | NA | NA | NA |
NA | RLL/LLL | NA | NA | Conservative management | Survived | None | NA | NA | NA | |||
8 | Maiya et al | one | RML/LUL | Hyperinflation of left upper lobe | Bronchomalacia right main and left middle bronchi | Bilateral lobectomy done in same admission | Survived | None | Radiological features and symptoms | None | None | |
9 | Kumar et al | one | 6mth/M | RML/lingula | hyperinflation left lingula and right middle lobe | None | One staged bilateral lobectomy | Survived | None | Radiological features and symptoms | Recurrent Pneumonia | None |
10 | Ghribi et al | three | .5mth/M | RML/LUL | hyperinflation left upper lobe and right middle lobe | None | Bilateral lobectomy done months apart | Survived | Perfusion defect in the LUL and a hypoperfused RML | Radiological features and symptoms | None | None |
4mth/M | RUL/RML | hyperinflation of the right upper and middle lobes | None | One staged bilateral lobectomy | Survived | None | Radiological features and symptoms | None | None | |||
.5mth/M | RUL/RML | none | None | Bilateral lobectomy done in same admission | Died | None | Radiological features and symptoms | None | None | |||
11 | Abushahin | one | two mth/M | RML/LUL | hyperinflation of the right middle and left upper lobe | Bronchomalacia of left bronchus and bronchus intermedius | Bilateral lobectomy done in same admission | Survived | None | Radiological features and symptoms | bronchiolitis | none |
12 | Cataneo et al | two | 7mth/M | RUL/RML | hyperinflation of the right upper and middle lobes | None | Bilateral lobectomy done in same admission | Survived | None | Radiological features and symptoms | LRTI | NA |
onemth/M | RUL/RML | hyperinflation of the right upper and middle lobes | None | Bilateral lobectomy done in same admission | Survived | None | Radiological features and symptoms | LRTI | NA | |||
13 | Perea | Four | onemth/M | RML/LUL | hyperinflation left upper lobe and right middle lobe,Aberrant bronchi | compression of left bronchus and Right middle bronchus,improvement on ballon occlusion of right bronchus | Unilateral lobectomy | Survived | None | Bronchoscopy findings | Respiratory distress | Tracheostomy/bronchoscopy |
neonate/M | RML/LUL | Overinflation of RML and LUL with herniation across midline | bronchomalacia and compression of both the right middle lobe and left upper lobe bronchi | Unilateral lobectomy | Survived | None | Bronchoscopy and radiological findings | Respiratory distress | Conservative | |||
neonate/M | RML/LUL | Overinflation of RML, LUL | compression with near complete effacement ofthe right middle and left upper lobe bronchi | Bilateral lobectomy done in same admission | Survived | None | Bronchoscopy and radiological findings | Respiratory distress | Conservative | |||
7mth/M | RML/LUL | Diffuse emphysema in RML, LUL also with herniation | left upper lobe bronchus narrowing improved with high levels of PEEP | Unilateral lobectomy | Survived | None | Bronchoscopy and radiological findings | Asthma,viral bronchiolitis | Bronchoscopy | |||
OUR SERIES | Three | 6mth/M | RML/LUL | hyperinflation of RML,LUL | Normal | Bilateral lobectomy in same admission | Survived | None | Radiological features and symptoms | Reactive airway disease | Conservative | |
7mth/M | RML/LUL | hyperinflation of RML,LUL | Normal but improvement on balloon occlusion of left bronchus | Bilateral lobectomy done months apart | Survived | None | Bronchoscopy and radiological findings | Bronchiolitis | Conservative | |||
4mth/M | RML/LUL | hyperinflation of RML,LUL | left upper bronchus narrowing right middle lobe mucus plug | Unilateral lobectomy | Survived | None | Bronchoscopy and radiological findings | Viral Brochiolitis | Conservative | |||
14 | Lei et al | One | neonate/M | RML/LLL | hyperinflation of RML followed by LLL | endobronchial inflammation | Unilateral lobectomy | Died | None | Bronchoscopy and radiological findings | Neonatal Pneumonia | Ventilation |
15 | Sawant et al | One | 4mth/M | RML/LUL | hyperinflation of RML,LUL | None | Bilateral done in same sitting | Survived | None | Radiological features and symptoms | None | None |