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An innovative solution for T-tube obstruction: The tracheostomy-customized stent combination
Ravindra M Mehta1, Abhinav Singla1, Rajani S Bhat1
1Department of Pulmonary, Critical Care, and Sleep Medicine , Apollo Hospitals, Bangalore, India.
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.
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