An innovative solution for T-tube obstruction: The tracheostomy-customized stent combination.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 29238992.
- Also identified by DOI 10.1002/lary.27046.
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Abstract
The Montgomery T-tube (MTT) is a useful tool for post-tracheostomy tracheal stenosis. However, MTTs can get blocked. We present a case series of life-threatening MTT blockage, wherein a split-function option was implemented, which was a customized silicone Dumon stent above the tracheostomy to maintain both airway and phonation. This tracheostomy-customized stent combination serves the same function as an MTT, with a greater margin of safety due to the easy suctioning capacity of the tracheostomy. With a fenestrated tracheostomy and stent above, speech is effectively preserved. We recommend this strategy in severe MTT blockage as a superior option to regular tracheostomy. Laryngoscope, 1795-1797, 2018.
Medical subject headings
- Airway Obstruction
- Postoperative Complications
- Stents
- Tracheostomy