Is the recurrence of primary spontaneous pneumothorax predictable?


  • Murat Saricam



Chest tube, Follow-up, Prediction, Recurrence, Spontaneous pneumothorax, Surgery


Background: Recurrence of Primary Spontaneous Pneumothorax (PSP) constitutes a serious challenge for both physicians and patients.

Methods: A retrospective study was conducted in 115 patients who had chest tubes at their first onset of PSP. Considering the development of recurrence, two groups were composed and comparatively examined in terms of age, body mass index, smoking status, side and size of initial pneumothorax, presence of bulla and duration of chest tube drainage at the first episode.

Results: Among 115 patients with PSP, 24 cases developed recurrence. Male gender was prominently relevant to develop recurrent PSP (p=0.034) whereas remaining inspected parameters revealed no significant relationship with a relapse. Interval between first onset and recurrence of PSP was calculated as 9.2 months. Interestingly, most of the patients developed recurrence in low-temperature months.

Conclusions: Recurrence of PSP is substantially unpredictable. Therefore, close follow-up of cases in the following year of their first episode and also informing the patients about probability of a relapse and measures to consider under this circumstance is of great importance.


Tulay CM, Özsoy İE. Spontaneous pneumothorax recurrence and surgery. Ind J Surg. 2015 Dec 1;77(2):463-5.

Noh D, Lee S, Haam SJ, Paik HC, Lee DY. Recurrence of primary spontaneous pneumothorax in young adults and children. Interactive Cardiovas Thorac Surg. 2015 Apr 29;21(2):195-9.

Primavesi F, Jäger T, Meissnitzer T, Buchner S, Reich-Weinberger S, Öfner D, et al. First episode of spontaneous pneumothorax: CT-based scoring to select patients for early surgery. World J Surg. 2016 May 1;40(5):1112-20.

Kepka S, Dalphin JC, Parmentier AL, Pretalli JB, Gantelet M, Bernard N, et al. Primary spontaneous pneumothorax admitted in emergency unit: does first episode differ from recurrence? A cross-sectional study. Canadian Respiratory J. 2017;2017.

Guo Y, Xie C, Rodriguez RM, Light RW. Factors related to recurrence of spontaneous pneumothorax. Respirol. 2005 Jun;10(3):378-84.

Noh D, Lee S, Haam SJ, Paik HC, Lee DY. Recurrence of primary spontaneous pneumothorax in young adults and children. Interactive Cardiovas Thorac Surg. 2015 Apr 29;21(2):195-9.

Olesen WH, Lindahl-Jacobsen R, Katballe N, Sindby JE, Titlestad IL, Andersen PE, et al. Recurrent primary spontaneous pneumothorax is common following chest tube and conservative treatment. World J Surg. 2016 Sep 1;40(9):2163-70.

Bobbio A, Dechartres A, Bouam S, Damotte D, Rabbat A, Regnard JF, et al. Epidemiology of spontaneous pneumothorax: gender-related differences. Thorax. 2015;70(7):653-8.

Sousa C, Neves J, Sa N, Goncalves F, Oliveira J, Reis E. Spontaneous pneumothorax: a 5-year experience. J Clini Med Res. 2011 Jun;3(3):111-7.

Sadikot RT, Greene T, Meadows K, Arnold AG. Recurrence of primary spontaneous pneumothorax. Thorax. 1997 Sep 1;52(9):805-9.

Choi SY, Park CM, Song SW, Kim YH, SC Jeong, Kim KS, et al. What factors predict recurrence after an initial episode of primary spontaneous pneumothorax in children? Ann Thorac Cardiovasc Surg. 2014;20:961-7.

Ouanes-Besbesa L, Gollia M, Knanib J, Dachraouia F, Nciria N, El Atrousa S, et al. Prediction of recurrent spontaneous pneumothorax: CT scan findings versus management features. Respiratory Med. 2007;101:230-6.

Pawit Pharpatara. Trajectory planning for aerial vehicles with constraints. Automatic Control Engineering. Universit ́e Paris-Saclay; Universit ́e d’Evry-Val-d’Essonne. 2015.






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