Subglottic stenosis above tracheal stoma: technique for Montgomery T-tube insertion.

Pinedo-Onofre, Javier Alfonso; Téllez-Becerra, José Luis; Patiño-Gallegos, Hilda; Miranda-Franco, Arturo; Lugo-Alvarez, Gerardo · Ann Thorac Surg · 2010

case_series · Level IV

Where this comes from

Abstract

The insertion of the Montgomery T-tube can be a difficult and time-consuming procedure if the stricture is located above the tracheal stoma, especially in individuals with short, obese necks. This article reports a modified insertion technique that is very useful in patients with severe fibrosis that makes it difficult to correctly position the proximal end of the T-tube's intraluminal limb. We have successfully performed this technique in 108 procedures in 69 patients since 2005, irrespective of the stoma location.

Medical subject headings