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Collapse therapy with expandable mammary prosthesis in the treatment of pulmonary tuberculosis

Colapsoterapia con protesis mamaria expandible en el tratamiento de la tuberculosis pulmonar




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Collapse therapy with expandable mammary prosthesis in the treatment of pulmonary tuberculosis. rev. colomb. neumol. [Internet]. 2017 Aug. 1 [cited 2024 Nov. 16];29(1):45-9. Available from: https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/237

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Pablo Posada Moreno
    Carlos Mauricio Ocampo
      Lord Larry Posada Uribe

        Pablo Posada Moreno,

        Estudiante de Medicina, Universidad de Antioquia. Medellín, Colombia.

        Carlos Mauricio Ocampo,

        Residente de Cirugía General, Universidad de Antioquia. Medellín, Colombia.

        Lord Larry Posada Uribe,

        Cirujano de Tórax, MSc, PhD., IPS Universitaria, Docente Departamento de Cirugía General Universidad de Antioquia. Medellín, Colombia.

        Collapse therapy is a technique used for obliterating cavernomatous spaces due to pulmonary destruction as sequelae of tuberculous infections. It was first described in 1882. Various materials, such as adipous and bone tissue, mixtures of paraffins, and polymethylmetacrilate spheres (Lucite spheres) have been used, all of which have caused important complications. With the advent of antibiotic therapy, the use of collapse therapy decreased, due to excellent response to treatment. Currently, due to the appearance of multiresistant strains, new cases of extensive cavernomatous spaces are appearing, for which the only therapeutic option is surgery in order to obliterate the cavern. In this context, expandable mammary prostheses play a significant role, since they reduce the complications generated by earlier techniques. We present the case of a 49-year-old patient with tuberculosis refractory to treatment, associated with a great pulmonary cavern that was treated with an expandable mammary prosthesis, with an excellent short-term response.


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