MASSIVE PLOMBAGE THORACOPLASTY FOR THE DESTROYED TUBERCULOUS LUNG

Management of tuberculous destroyed lung in Nigeria.

Between 1969 and 1979, 20 patients under-went pneumonectomy for tuberculous destroyed lungs (TDL) at the University College Hospital (UCH), Ibadan, Nigeria. Their ages ranged from 9 to 57 years, with an average age of 24 years. The left lung was involved in 16 patients (80 percent) and the right lung in four patients (20 percent). All patients had received treatment for pulmonary tuberculosis (...

Tuberculous destroyed lung: radiologic and clinical outcomes with prognostic evaluation

The surgical management of late tuberculous space infections after plombage.

The introduction of unabsorbable foreign materials into the tissues is liable to be followed by late infection and their extrusion. This has been found particularly to be the case when such materials have been used to maintain surgical collapse of a tuberculous lung. The early results of extrapleural oleothorax and paraffin wax plom-bage were satisfactory and gave a high proportion of closed ca...

Routine Pulmonary Function Test Can Estimate the Extent of Tuberculous Destroyed Lung

Tuberculous destroyed lung (TDL) is diagnosed by a clear past history of tuberculosis with findings of parenchymal destruction verified by chest X-ray. Despite the resultant deterioration of lung function and quality of lives seen in TDL patients, the exact mechanism or characteristics of pulmonary function worsening have not been clearly studied. We investigated the feature of respiratory impa...

Plombage thoracoplasty with balls performed for tuberculosis--still working after 46 years.

Plombage thoracoplasty using different synthetic materials was a popular procedure in the management of tuberculosis (TB) in the 1940-50's, being then abandoned. We report an 81-year-old patient who underwent a plombage thoracoplasty with balls at the age of 35; at the moment of examination in our unit, the patient had no chest complaints and no complications related to the surgical procedure w...