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Lung

Question
Hello, my daughter, 13, did well until april. Then she got a pneumonia and a pleuritis. She struggled for a long time with that.
Now an operation should follow after many investigations, the middle lobe of the lung should be removed as it collapsed during a bronchoscopy. My question: is it really necessary or can this be postponed as long as possible?
Answer
Hello,
I assume that your daughter has CF. With this illness, the middle lobe is often involved in a special way and it can really be necessary to remove the middle lobe with an operation. This is the case when only few functioning lung tissue is there anymore and the middle lobe presents a risk of infection for the other parts of the lung. For sure, it has been tried to reopen this part of the lung with the help of an intensive physiotherapy with support of the position, so that it can be ventilated better. As well, a targeted inhalation therapy with drugs can be successfull. Both things I would try in any case before an operation.
Yours sincerely,
Dr. H. Ellemunter
07.12.2010