Zur pathologischen Anatomie der Thorakoplastik

Stefko, W. H.; Nikitowa, A. N.

doi:10.1007/bf02145185

Cited by 2 publications

(2 citation statements)

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“…The aim of the procedure is to reduce the size of the chest wall to eliminate a hollow space, or to compress a pathologically altered lung. [1][2][3][4] This surgical method (also called collapse therapy of chest wall) historically applied to treat cavernous forms of lung tuberculosis and to eliminate empyematous cavities. 3,5 Gradually, the technique of thoracoplasty has been significantly modified 6 and currently it is complemented frequently by a myoplasty such as thoracomyoplasty.…”

Section: Introductionmentioning

confidence: 99%

“…7 Thoracoplasty was initiated in the late 19th century to treat destructive lung tuberculosis and was also a "last chance" treatment for chronic pleural empyema (in various intra/extrapleural modifications with different degrees of mutilation). 1,4,6,8 The need for surgical intervention was considerably reduced as a result of the introduction of effective drug therapy of tuberculosis (starting with Streptomycin in 1944, then PAS, INH, and most recently Rifampicin, in 1966) as well as the development of multimodal and targeted treatment of pleural empyema.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Thoracoplasty—Current View on Indication and Technique

Kuhtin

Veith

Al-Ghanem

et al. 2018

Thorac Cardiovasc Surg

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Thoracoplasty was invented for removing cavities between thoracic wall and remnant lung or mediastinum. It was initially used in cases of tuberculosis or unspecific infections, while currently it is used mainly for space problems after lobectomy/pneumonectomy.This article presents an overview of the historical and current techniques of this surgical procedure.Nowadays, thoracoplasty is rarely performed due to the low incidence of diseases for which this method is necessary. Therefore, this method has even been discredited. Furthermore, certain technical aspects of the thoracoplasty are not very well known because of the infrequent application of this procedure.Unfortunately, a look into the literature of thoracoplasty is not always usefull due to the biased views of advocates of different techniques such as Schede's thoracoplasty, Heller's Jalousie-Plastik, Alexander's extramusculoperiosteal thoracoplasty, Bjork's osteoplastic thoracoplasty, etc.Not to forget, there has always been a lack of research on the relevance and on the several techniques of thoracoplasty.The point is precise indication and correct execution of thoracoplasty as a final therapeutic option, which allows a safe and definitive solution of the space problem even in complex cases, without creating serious functional and cosmetic impairment for the patient.The main types of thoracoplasty are described in this article. Although the core principle of this operation remains unchanged, modern techniques are often cosmetically more considerable and less destructive, compared with techniques that were used in the past.

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