[Diaphragmatic eventration and paralysis in children]

Area of Science:

• Medical Science
• Surgical Procedures
• Pediatric Care

Context:

• Diaphragmatic relaxation presents as congenital eventration or acquired paralysis due to phrenic nerve lesions.
• Phrenic nerve paralysis can stem from difficult deliveries or surgical complications, particularly cardiac procedures.
• Understanding the pathophysiology and clinical manifestations is crucial for effective management.

Purpose:

• To review the authors' experience with diaphragmatic relaxation, encompassing 12 eventrations and 9 paralysis cases.
• To elucidate the pathophysiology, symptoms, and treatment options for diaphragmatic relaxation.
• To provide evidence-based recommendations for managing diaphragmatic relaxation.

Summary:

• Diaphragmatic relaxation, characterized by eventration or paralysis, necessitates medical intervention including intubation and assisted ventilation for acute respiratory distress.
• Surgical plication is the recommended treatment for diaphragmatic relaxation when medical management fails to fully alleviate symptoms.
• The review covers 12 cases of eventration and 9 cases of paralysis, detailing their clinical courses and outcomes.

Impact:

• Highlights the importance of timely diagnosis and intervention for diaphragmatic relaxation.
• Emphasizes the role of surgical plication as a definitive treatment for persistent cases.
• Contributes to the understanding and management strategies for diaphragmatic relaxation in clinical practice.