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