Tuberculous Stenosis Research Articles

A Physio-Pathological Study of the Bronchial Movement by Motion Pictures

1. A bronchographic study was carried out with an object of clarifying the physiopathological significance of bronchial movement and an analysis by motion pictures made on the state of movement of the bronchi in various diseases from the fluoroscopic plates.2. Bronchial movements may be divided into following fundamental movement: movement of tracheal carina and bronchial spurs; expansion and contraction of the lumen of the bronchus; elongation and shortening of the bronchus; torsion of the bronchus and pulsatory movement of the heart and great vessels.The displacement of the bronchus may be divided into the deviation of the stem bronchus and that of the peripheral bronchi.The movement of the peripheral bronchi was studied according to the displacement by pendulum and chordal movements.3. The movement of the bronchus is most marked at the time of coughing. All the bronchi do not uniformy contract during the expulsive movement, but show rapid successive contraction beginning at periphery and moving toward the trachea.4. The peristaltic movement of bronchus was not recognized.5. There was noted a increasing bronchial movement with gravity of the pulmonary tuberculosis. In mild case of pulmonary tuberculosis a pendulum movement and torsion of bronchi were recognized. In serious cases, howerver, chordal movement was noted and torsion of the bronchi was found to have disappeared. The emptying of a contrast media is rather rapid in mild cases and is prolonged in far advanced cases.6. In tuberculous stenosis of the main bronchus the lumen of the stenosed area shows a widening in deep inspiration, however, the expulsion of a contrast media on coughing is obstructed. This indicates an interference of the pulmonary ventillation due to stenosis. The bronchial lumen created by anastomosis shows normal patency and movement. No stagnation of the contrast media is reconized on coughing. This indicates that the ventillation of residual lung is improved by surgery of the bronchus.7. In bronchial asthma the filling of a contrast media into bronchi is rather poor. The bronchi generally show narrowing and sometimes spasmodic contractions are recognized. This indicates an increased resistance of the air passage and a disturbance of ventillation.8, As to the relationspip between bronchial movement and pleural adhesion it was found that the displacement of peripheral bronchi and torsion of bronchi are closely related with pleural adhesion.9. When there is present a ventillation disturbance the bronchial movements are generally restricted. In obstructive ventillation disturbance the filling and emptying of a contrast media is poor and in mixed ventillation distrubance, conditions differ according to the factors which are responsible for the disturbance.

Resection of tuberculous strictures of the main bronchi in three cases.

Resection of tuberculous strictures of the main bronchi in three cases.

Preservation of lung tissue by means of bronchoplastic procedures

1. 1. Bronchoplastic procedures are feasible and are indicated under certain conditions to preserve healthy lung tissue. A traumatic, inflammatory, or neoplastic lesion of the bronchus does not always require resection of all of the lung tissue supplied by the bronchus. 2. 2. The authors have used a variety of procedures to restore bronchial continuity in eighteen patients. The bronchial lesions so treated include traumatic occlusion, acute traumatic rupture, tuberculous stenosis, adenoma and carcinoma. 3. 3. The indications for the use of bronchoplastic procedures with resection for bronchogenic carcinoma in nine patients were inadequate pulmonary reserve in three, to extend operability in two, and deliberately for small centrally located lesions in four patients. One operative mortality occurred due to inadequate pulmonary function following resection of an entire lung, coryna and trachea. Three patients died of carcinoma within one year of the operation. The remaining five patients, in four of whom the operation was performed deliberately, are alive and well one, five, fourteen, sixteen and twenty-one months, respectively.

Tuberculous Stenosis of the Trachea: Report of a Case Treated by Incision

We have presented a case of tuberculous ulceration of the trachea (Type III) which progressed to marked stenosis (Type IV). Due to the high mortality rates quoted in the literature in regard to the surgical removal and repair of the lower end of the trachea it was decided to treat conservatively with massive antibiotic therapy combined with repeated local incisions of the constricting band. It is granted that the patient's future is still precarious but she has been kept alive for 15 months since the constrictive crisis, she is relatively well, her sputum has been converted and she has returned home to continue convalescence. The atelectasis of her left lung has lessened and her general condition is such that she could now stand excisional therapy for the trachea better than would have been the case when she was so ill in January 1951. The repeated incisions of the constricting tracheal ring were accomplished by a special instrument designed by one of the authors rather than by cautery as it was feared that the reaction to the latter might seriously increase the degree of stenosis.

Tracheotomy for tuberculous laryngeal stenosis, with case report

Summary An example of laryngeal tuberculosis causing obstructive dyspnoea which necessitated tracheotomy is described. The tracheotomy tube was permanently removed after five months and rapid healing of the wound followed. The factors responsible for this unusual course are discussed.

Specimen of Tuberculous Stricture of Small Intestine

Specimen of Tuberculous Stricture of Small Intestine

Tuberculous stricture of the urethra

Tuberculous stricture of the urethra

Tuberculous Strictures of the Bowels and Their Treatment

Tuberculous Strictures of the Bowels and Their Treatment