Abstract
The presence of endobronchial tuberculosis confuses the prognosis and greatly complicates the treatment of the parenchymal lesion. Atelectasis, anaerobic infection, progressive tuberculosis, empyema, and unexpandable lung occur with great frequency when pneumothorax is used. Therefore, pneumothorax should be considered as contraindicated in all but the minimal cases of bronchial tuberculosis, or those patients in whom the bronchial lesion has healed without appreciable stenosis. Thoracoplasty should be the procedure of choice in those patients in whom pneumothorax is contraindicated. In other cases pneumonectomy and lobectomy may be the only chance of restoring health.
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