Basal Plombage

Basal plombage.

The treatment of tuberculous cavities in the lower lobe is difficult. Simple measures such as phrenic paralysis with or without pneumoperitoneum, artificial pneumothorax, postural retention, chemotherapy and bed rest, alone or in combination, have proved effective in only two-thirds of the patients, and, even in these, relapse has been frequent. Crofton (1949), reviewing a series of 54 cases in...

Extrapleural Plombage with Lucite Spheres

Tracheal compression: a late complication of plombage.

DESCRIPTION Plombage, or extrapulmonary thoracoplasty, is the use of exogenous material to treat localised lung pathology. It was initially described by Tuffier as early as 1891. It was introduced in Britain in the late 1940s when the epidemic spread of tuberculosis combined with a lack of antituberculous drugs led to a vogue for surgical procedures to treat pulmonary tuberculosis before the ad...

Ventilatory function studies in extraperiosteal plombage.

Classical thoracoplasty, being the recognized standard procedure for permanent collapse therapy in pulmonary tuberculosis, has yet to be surpassed by any other surgical method with regard to longterm arrest of the disease and sputum conversion. However, it is a multiple-stage procedure, requiring extensive decostalization followed by permanent deformity and considerable impairment of ventilator...

Experimental suprachoroidal plombage with a urethane based hydrophilic polymer.

Small portions of dehydrated hydrophilic polymer (HPU 90, Smith and Nephew) have been inserted into the suprachoroidal space in rabbits to investigate the possible use of suprachoroidal plombage in retinal detachment surgery. As it hydrates, the material causes a pronounced elevation of choroid and retina, and the implants have been well tolerated for periods of up to one year in experimental a...