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Subglottic stenosis above tracheal stoma: technique for Montgomery T-tube insertion
Javier Alfonso Pinedo-Onofre1, José Luis Téllez-Becerra, Hilda Patiño-Gallegos
1Department of Thoracic Surgery, National Institute of Respiratory Diseases Ismael Cosio Villegas, Mexico City, Mexico. dr_creatura@hotmail.com
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.
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