Oleothorax extravasat
Bild 86

86. More Paraffin plombage

What complications might arise 30 years after the installation ?
(Click here for the answer)

Paraffin is worn down at a small point in the space between plombage and a rib.

Oleothorax toracoplas
Bild 87
87. What mistakes and what peculiarity does the thorax shot of a new case of a very elderly patient show us? At the age of 50, he survived the process and full procedure of surgical treatment.
(Click here for the answer)

The radiograph is reversed.
On his right, the patient has an extended thoracoplasty and a small, additional oleothorax . The plombage is dislocated and may, thereby, have lost its effectiveness.
This combination of 'methods for therapy-collapse” is exceptional. Nowadays, we do not acknowledge the peculiarity of this illness case, which gives cause for this broken-down combination of a therapeutic procedure.

88. CT of the same patient (87).
Thoracopasty combined with a dislocated paraffin plombage.

CT same case pleura
Bild 88
What technical peculiarity does the image of the left lung show us?
(Click here for the answer)

A “double window”; the soft-tissue-area, as well as the lungs should be well depicted in one picture. This window is not readily showed any more.

89. Today, we have little practice with the assessment of rare thoracoplasty. For that reason, we would rather like to study – using three subsequent cases – the complex effectiveness of the entire bone, comprising thorax as well as of the spinal column.

Thoracoplas
Bild 89
So, here, why has one not employed the plombage, but far rather the comparatively complicated operation of the thorakoplasty?
(Click here for the answer)

One can imagine that the cavernous process was loctaed, rather than in the upper regions, in the right-middle areas. Such localisation was “laid to rest” poorly by the plombage.
It is not easy to decide: are the ribs rarified and ill-formed , or is the soft-area-coating “diffus” calcified and ossified (see 92)  ?

90. A further case of thoracoplasty.

Other thoracoplas
Bild 90

In order to conduct further studies of the operating method, one has to turn to two old-fashioned publications for advice and counsel: Hein-Kremer-Schmidt (Collapse-Therapy and Tuberculosis of the lungs) and Alexander.