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Thoracoplasty

Thoracoplasties


Presentation

  • He presented to us in May, 1987, with a subscapular tumor which had been growing over the last 5 years.[ncbi.nlm.nih.gov]
Hypoxemia
  • It is concluded that in thoracoplasty patients with mild hypoxemia during wakefulness, the degree of sleep-related oxygen desaturation was modest and closely related to the waking level of SaO2.[ncbi.nlm.nih.gov]
  • . • Nocturnal hypoxemia is common in patients with hypercapnia or borderline low arterial PO2 during daytime • Cor pulmonale may develop as a result of hypoxemia and resultant pulmonary hypertension Philips, Kinnear. Thorax 42;1987:445.[docsity.com]
Hemoptysis
  • Hemoptysis is a life-threatening episode of respiratory disease. By means of every possible treatment, hemostasis should be obtained to secure the airway as well as to prevent blood loss.[ncbi.nlm.nih.gov]
  • Collapse of these lesions greatly reduces the risk of hemoptysis and shortens the patient’s infectious stage.[oatext.com]
Fear
  • Here, we present a re- adaptation of these techniques into one that has been named: “Apicolytic Chondroflexing Thoracoplasty”, a procedure that has proven to be effective, with no complications and without the long-feared deformation issues.[oatext.com]

Workup

Periostal Elevation
  • The Coryllos periosteal elevator is ideal for stripping the rib and invaluable for freeing the necks of ribs and the transverse processes. The Matson or Cameron Haight elevators are used for stripping both surfaces of the first rib ( Fig. 65-2A ).[thoracickey.com]
Cavitary Lesion
  • Cavitary lesions were a sign of serious infection and signaled the failure of host defenses to contain the organisms.[scholars.northwestern.edu]
Coccidioides Immitis
  • Two patients had infection with Aspergillus fumigatis and 1 patient had Coccidioides immitis. Two patients had received mediastinal radiation after prior upper lobectomy for carcinoma of the lung.[ncbi.nlm.nih.gov]

Treatment

  • To report a new endoscopic thoracoplasty technique for the treatment of rib deformities associated with idiopathic scoliosis.[ncbi.nlm.nih.gov]

Prognosis

  • CONCLUSIONS: These results show that, even when ventilatory failure has developed, the prognosis with non-invasive assisted ventilation is good and the physiological abnormalities can be partially reversed.[ncbi.nlm.nih.gov]
  • If the long-term prognosis for the patient is poor, he or she may be better served by a one-stage TPL rather than a multiple-stage muscle flap procedure and a prolonged period of hospitali- zation. 24 , 25 To be effective, the classic extrapleural TPL[thoracickey.com]
  • . • Non-invasive ventilation reduces the work of breathing, alleviates respiratory muscle fatigue, relieves dyspnea, lessens sleep-induced desaturation, and improves overall prognosis • Improvements in VC, maximal inspiratory pressure, maximal expiratory[docsity.com]
  • The hospital mortality was 7.6% in our series; it may have been lower due to younger age group and exclusion of post-oesophageal perforation empyema, which usually carries a poorer prognosis.[ayubmed.edu.pk]

Etiology

  • The purposes of this study are to identify potential etiologies for compression of the brachial plexus after expansion thoracoplasty and to suggest strategies to reduce the incidence of this complication.[ncbi.nlm.nih.gov]
  • Pectus excavatum Docsity.com • The etiology is unknown.[docsity.com]

Pathophysiology

  • Docsity.com • Problems include – bar displacement or rotation requiring reoperation, – pneumothorax, – Pericarditis, and – Infection • Surgical repair provides cosmetic benefits and may positively affect the psychosocial well-being of the patient • The pathophysiologic[docsity.com]

Prevention

  • By means of every possible treatment, hemostasis should be obtained to secure the airway as well as to prevent blood loss. We describe an emergency pneumonectomy for massive hemoptysis from destroyed lung in a patient with previous thoracoplasty.[ncbi.nlm.nih.gov]
  • Hospital for Sick Children Health A-Z Search a complete list of child health articles expand_more View All Drug A-Z Search a list of articles about medications expand_more View All Learning Hubs Browse a complete list of content groups Healthy Living & Prevention[aboutkidshealth.ca]
  • Elastic straps are attached to specific places on the patient, and the patient must lie in a certain position to prevent the development of scoliosis. X-rays of before the surgery and after the first stage of surgery are shown.[wellcomelibrary.org]

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