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(Chest. 1951;19:346-353.)
© 1951 American College of Chest Physicians

Bronchoscopy in Tuberculosis

Deformity of the Major Bronchi Associated with High Diaphragm Rise in Certain Forms of Non-Surgical Collapse Therapy

MILTON R. HIMALSTEIN M.D.1

1 The Department of Medicine and Surgery, Veterans Administration, Bay Pines, Florida.

1) Collapse therapy to produce a diaphragm rise causes characteristic deformity of the main bronchi. Sharp dorsal angulation of the left main bronchus above the level of all lobe orifices on this side is especially significant.

2) The deformed left tree appears to favor the development of endobronchial disease.

3) Optimal diaphragm rise, rather than maximal rise, based on bronchoscopic observation of the individual case seems the more intelligent approach.






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Copyright © 1951 by the American College of Chest Physicians.