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The objective of treatment is to remove the air from around the lungs, allowing the lung to re-expand. Small lung collapses may get better on their own.
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Aspiration (withdrawal) of air may re-expand the lung. The placement of a chest tube between the ribs into the pleural space allows the evacuation of air when simple aspiration is not successful or if the pneumothorax is large. Re-expansion of the lung may take several days with the chest tube left in place. Hospitalization is required for chest tube management.
Surgery may be needed for repeated lung collapses.
A procedured called pleurodesis can help prevent air and fluid buildup around the lungs and prevent collapses.
Patients should stop smoking and avoid high altitudes, scuba diving, or flying in unpressurized aircraft to prevent the recurrence of pneumothorax.
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