Tuberc Respir Dis > Volume 39(1); 1992 > Article
Tuberculosis and Respiratory Diseases 1992;39(1):73-78.
DOI: https://doi.org/10.4046/trd.1992.39.1.73    Published online February 1, 1992.
Extraperiosteal paraffine plombage thoracoplasty for pulmonary tuberculosis.
Myong Kil Choi1, Jong Chul Ree2
1Department of Surgery, Gin Yong Hospital, Chang Won, Korea
2Department of Tuberculosis, Chang Won Hospital, Chang Won, Korea
Abstract
Background
From 1973 we performed EPPT for the 3,500 cases of the cavitary tuberculosis who were not responded well to the antimicrobial drugs, and we evaluated the 1,003 cases who could be followed up to more than 3 years postoperatively.
Methods
The key of the EPPT was that the 5-8 ribs of unilateral chest were denuded at the one stage operation and the paraffine was used as the plomb of filling the dead space out of the collapsed periosteums and intercostal muscles.
Results
and Conclusion: Number of patients who had unilateral EPPT was 759 and bilateral 244. The late complication were subscapular abscess (12) lump formation (42) and paraffine expectoration (26). All of those complications was cured after removal of the packed paraffine. Sputum conversion rates were 91.6% in the group with cavity less than 3 cm and 41 .8% in the group with cavity bigger than 5 cm.
Key Words: Cavity, Extra periosteal praffine plombage thoracoplasty, Negative Convulsion


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