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Thorac Cardiovasc Surg 2020; 68(04): 331-340
DOI: 10.1055/s-0038-1642633
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Thoracoplasty—Current View on Indication and Technique

Oleg Kuhtin
1   Clinic for General, Visceral and Vascular Surgery, Caritas-Krankenhaus Bad Mergentheim, Bad Mergentheim, Germany
,
Marina Veith
1   Clinic for General, Visceral and Vascular Surgery, Caritas-Krankenhaus Bad Mergentheim, Bad Mergentheim, Germany
,
Mohammed Alghanem
1   Clinic for General, Visceral and Vascular Surgery, Caritas-Krankenhaus Bad Mergentheim, Bad Mergentheim, Germany
,
Ivan Martel
2   Clinic for Thoracic Surgery and Tuberculosis, I.M. Sechenov Moscow Medical Academy, Moscow, Russian Federation
,
Dmitrii Giller
2   Clinic for Thoracic Surgery and Tuberculosis, I.M. Sechenov Moscow Medical Academy, Moscow, Russian Federation
,
Viktor Haas
3   Clinic for Thoracic Surgery, Klinikum Ansbach, Ansbach, Germany
,
Ludwig Lampl
4   Clinic for Cardio- and Thoracic Surgery, Klinikum Augsburg, Augsburg, Germany
› Author Affiliations
Further Information

Publication History

16 December 2017

12 March 2018

Publication Date:
17 May 2018 (online)

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Abstract

Thoracoplasty was invented for removing cavities between thoracic wall and remnant lung or mediastinum. It was initially used in cases of tuberculosis or unspecific infections, while currently it is used mainly for space problems after lobectomy/pneumonectomy.

This article presents an overview of the historical and current techniques of this surgical procedure.

Nowadays, thoracoplasty is rarely performed due to the low incidence of diseases for which this method is necessary. Therefore, this method has even been discredited. Furthermore, certain technical aspects of the thoracoplasty are not very well known because of the infrequent application of this procedure.

Unfortunately, a look into the literature of thoracoplasty is not always usefull due to the biased views of advocates of different techniques such as Schede's thoracoplasty, Heller's Jalousie-Plastik, Alexander's extramusculoperiosteal thoracoplasty, Bjork's osteoplastic thoracoplasty, etc.

Not to forget, there has always been a lack of research on the relevance and on the several techniques of thoracoplasty.

The point is precise indication and correct execution of thoracoplasty as a final therapeutic option, which allows a safe and definitive solution of the space problem even in complex cases, without creating serious functional and cosmetic impairment for the patient.

The main types of thoracoplasty are described in this article. Although the core principle of this operation remains unchanged, modern techniques are often cosmetically more considerable and less destructive, compared with techniques that were used in the past.

Keywords

thoracoplasty - pleural empyema - pneumonectomy - tuberculosis - aspergilloma
 

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