title: Subglottic stenosis above tracheal stoma: technique for Montgomery T-tube insertion.
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.
authors.affiliation: Department of Thoracic Surgery, National Institute of Respiratory Diseases Ismael Cosio Villegas, Mexico City, Mexico. dr_creatura@hotmail.com
authors.forename: Javier Alfonso
authors.initials: JA
authors.lastname: Pinedo-Onofre
authors.forename: José Luis
authors.initials: JL
authors.lastname: Téllez-Becerra
authors.forename: Hilda
authors.initials: H
authors.lastname: Patiño-Gallegos
authors.forename: Arturo
authors.initials: A
authors.lastname: Miranda-Franco
authors.forename: Gerardo
authors.initials: G
authors.lastname: Lugo-Alvarez
mesh_terms: D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D007829:Laryngostenosis; D014139:Tracheostomy