Pneumothorax is an unusual complication of pulmonary Langerhans cell histiocytosis. We report three children who developed recurrent intrathoracic air leaks. In one case, bilateral pneumothoraces may have been precipated by intermittent positive pressure Ventilation during general anaesthesia. Chemical pleurodesis was unsuccessful in preventing recurrence of pneumothoraces in two children. The use of extracorporeal membrane oxygenation as an alternative to intermittent positive pressure ventilation in children with respiratory failure from Langerhans cell histiocytosis is discussed. (C) 1997 Wiley-Liss, Inc.
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Univ Calif Los Angeles, Div Plast Surg, Los Angeles, CA USAUniv Calif Los Angeles, Div Plast Surg, Los Angeles, CA USA
Yee, Kristen S.
Combs, Patrick D.
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Dell Childrens Med Ctr Cent Texas, Craniofacial & Reconstruct Plast Surg Ctr, Austin, TX 78723 USAUniv Calif Los Angeles, Div Plast Surg, Los Angeles, CA USA
Combs, Patrick D.
Kelley, Patrick K.
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Dell Childrens Med Ctr Cent Texas, Craniofacial & Reconstruct Plast Surg Ctr, Austin, TX 78723 USAUniv Calif Los Angeles, Div Plast Surg, Los Angeles, CA USA
Kelley, Patrick K.
George, Timothy M.
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Dell Childrens Med Ctr Cent Texas, Pediat Neurosurg Ctr, Austin, TX 78723 USAUniv Calif Los Angeles, Div Plast Surg, Los Angeles, CA USA
George, Timothy M.
Harshbarger, Raymond J.
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Dell Childrens Med Ctr Cent Texas, Craniofacial & Reconstruct Plast Surg Ctr, Austin, TX 78723 USAUniv Calif Los Angeles, Div Plast Surg, Los Angeles, CA USA
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Univ Paris 05, CHU Ambroise Pare, Serv Med Interne, F-92104 Boulogne, FranceUniv Paris 05, CHU Ambroise Pare, Serv Med Interne, F-92104 Boulogne, France
Hiar, I
Melander, C
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Univ Paris 05, CHU Ambroise Pare, Serv Med Interne, F-92104 Boulogne, FranceUniv Paris 05, CHU Ambroise Pare, Serv Med Interne, F-92104 Boulogne, France
Melander, C
de Lemtdes, CR
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Univ Paris 05, CHU Ambroise Pare, Serv Med Interne, F-92104 Boulogne, FranceUniv Paris 05, CHU Ambroise Pare, Serv Med Interne, F-92104 Boulogne, France
de Lemtdes, CR
Hanslik, T
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Univ Paris 05, CHU Ambroise Pare, Serv Med Interne, F-92104 Boulogne, FranceUniv Paris 05, CHU Ambroise Pare, Serv Med Interne, F-92104 Boulogne, France
Hanslik, T
Princeau, J
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Univ Paris 05, CHU Ambroise Pare, Serv Med Interne, F-92104 Boulogne, FranceUniv Paris 05, CHU Ambroise Pare, Serv Med Interne, F-92104 Boulogne, France
Princeau, J
Bafounta, ML
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Univ Paris 05, CHU Ambroise Pare, Serv Med Interne, F-92104 Boulogne, FranceUniv Paris 05, CHU Ambroise Pare, Serv Med Interne, F-92104 Boulogne, France
Bafounta, ML
Baglin, A
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Univ Paris 05, CHU Ambroise Pare, Serv Med Interne, F-92104 Boulogne, FranceUniv Paris 05, CHU Ambroise Pare, Serv Med Interne, F-92104 Boulogne, France