Pleural Imaging
Fig. 54.5 An AP supine CXR demonstrating a pseudopneumothorax, due to a skin flap (arrows). This was confirmed on a subsequent image There are two types of fissure: standard (oblique…
Surgical Lung Volume Reduction
Inclusion criteria COPD with emphysema with severe irreversible obstruction to airflow FEV1 < 35% pred Marked hyperinflation of the lung TLC > 110% pred Impaired exercise performance RV > 200%…
Medical Thoracoscopy/Pleuroscopy
Feature Medical thoracoscopy/pleuroscopy VATS Purpose Diagnosis Minimally invasive thoracic surgery Pleurodesis Location Endoscopy suite Operating room Operating room Anesthesia Local with moderate sedation Single-lung ventilation Technique Single puncture Multiple punctures…
Rigid Bronchoscopy
Large volume tissue biopsies Management of massive hemoptysis Foreign body extraction Direct management of endobronchial obstruction Mechanical coring of lesion using beveled tip Direct dilation of airway lumen Indirect management…
Percutaneous Tracheotomy
Fig. 66.1 King Aha Slab – 1st Dynasty (From Pahor AL. Ear nose and throat in Ancient Egypt. J Laryngol Otol. 1992;106:773–9. Courtesy of the Journal of Laryngology) Fig. 66.2…
Management of Posttransplant Disorders
Fig. 45.1 (a) Example of a healthy right anastomosis. (b) Image 1.1b shows a healthy left anastomosis Anatomy While normally there is a dual blood supply from the bronchial and…
Endobronchial Silicone Stents for Airway Management
Fig. 29.1 The original Dumon stent (Tracheobronxane ®, Novatech, La Ciotat, France) Available Silicone Stents Dumon Stent Many silicone stents are commercially available, although the Dumon stent (Tracheobronxane®, Novatech, La…
Management Principles of Nonmalignant Airway Obstruction
Type of stenosis Pathology Intraluminal Inflammatory: Wegener’s granulomatosis (systemic) Sarcoidosis Relapsing polychondritis (with malacia) Infections: endobronchial tuberculosis Aspergillosis Papillomatosis Hamartoma Hemangioma Tracheopathia osteoplastica Amyloidosis Pseudotumor Granulation tissue/granuloma Broncholith Foreign body…
Pleural Anatomy and Fluid Analysis
Fig. 53.1 Thoracoscopic view of the pleural cavity, looking toward the apex of the lung, showing the lung covered by visceral pleura (at bottom of the image) and the parietal…
Optical Coherence Tomography
Fig. 23.1 Spatial information or distance (z) is determined from the time delay of reflected light (T) and the speed of light (v) according to the formula z = ∆T…
