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Ann Thorac Surg 1996;62:1837-1839
© 1996 The Society of Thoracic Surgeons

Case Report

Paraffin Plombage of the Chest Revisited

Wickii T. Vigneswaran, MD, Sai S. Ramasastry, MD

Divisions of Cardiothoracic Surgery and Plastic and Reconstructive Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois

Accepted for publication June 11, 1996.

Complications related to previous thoracic plombage procedures are not uncommon. The management of these complications can be challenging. We present a patient who had a partial resection of the left upper lobe, a seven-rib thoracoplasty, and paraffin wax plombage 38 years previously, in whom a chest wall mass and a discharging sinus developed. She underwent excision and debridement of the paraffin wax mass followed by serratus anterior and latissimus dorsi pedicled muscle intrathoracic transposition. Follow-up at 2 years revealed excellent cosmetic and functional results.




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