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(Chest. 1957;31:696-704.)
© 1957 American College of Chest Physicians

Apico-osteoplasty: A Modified Thoracoplasty Technique

MAURICO GOLBERG M.D.1; GEORGE HEITZMAN M.D.2; IRVING KASS M.D.2; and JOHN B. GROW M.D., F.C.C.P.2

1 The Department of Surgery, Sinai Hospital, Baltimore, Maryland., The Surgery and Medical Services of National Jewish Hospital.
2 The Surgery and Medical Services of National Jewish Hospital.

Seventeen cases in which the apico-osteoplasty was performed have been presented. Postoperative morbidity was observed in two. Four prior to surgery had negative sputa and no postoperative change was observed. Nine had conversion of sputum to negativity following the procedure. Of the four who remained positive all had contralateral disease.

The apico-osteopexy has been proved to be a satisfactory space filling procedure following resection in advanced pulmonary tuberculosis. The advantages are: (1) Its adaptability to varying amounts of lung resected; (2) Minimal trauma and blood loss; (3) Avoidance of multiple stage procedures and foreign body plombage; (4) Minimal paradoxical motion; (5) Absence of cervicothoracic spine deformity.






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Copyright © 1957 by the American College of Chest Physicians.