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2007, Number 3

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Rev Inst Nal Enf Resp Mex 2007; 20 (3)

Reinforcement of Montgomery´s T tube for the treatment of complex laryngotracheal stenosis

Morales GJ, Téllez BJL, Gonzáles CLF, Hernández CJA, Munguía CDA
Full text How to cite this article

Language: Spanish
References: 11
Page: 222-226
PDF size: 115.23 Kb.


Key words:

Laringotracheal stenosis, fibrosis, Montgomery T tube.

ABSTRACT

The severe fibrosis seen in certain cases of subglottic and upper tracheal segment stenosis can collapse the laryngeal arm of the Montgomery T tube. The addition of a short segment of silastic tube to this laryngeal arm increases its resistance to collapse. Two cases in point are presented; this represents a useful and nonexpensive alternative to be used in similar cases.


REFERENCES

  1. Miller RD, Hyatt RE. Obstructing lesions of the larynx and trachea: clinical and physiologic characteristics. Mayo Clin Proc 1969:44:145-161.

  2. Kastanos N, Estopá Miro R, Marín Perez A, Xaubet Mir A, Agustí-Vidal A. Laryngotracheal injury due to endotracheal intubation: incident, evolution, and predisposing factors. A prospective long-term study. Crit Care Med 1983;11:362-367.

  3. Montgomery WW. Reconstruction of the cervical trachea. Ann Otol Rhinol Laryngol 1964;73:1-15.

  4. Montgomery WW. T-tube tracheal stent. Arch Otolaryngol 1965;82:320-321.

  5. Wahidi MM, Ernst A. The Montgomery T-tube tracheal stent. Clin Chest Med 2003;24:437-443.

  6. Cooper JD, Todd TR, Ilves R, Pearson FG. Use of the silicone tracheal T-tube for the management of complex tracheal injuries. J Thorac Cardiovasc Surg 1981;82:559-568.

  7. Puma F, Ragusa M, Avenia N, et al. The role of silicone stents in the treatment of cicatricial tracheal stenoses. J Thorac Cardiovasc Surg 2000;120:1064-1069.

  8. Montgomery WW, Montgomery SK. Manual for use of Montgomery laryngeal, tracheal and esophageal prostheses: update 1990. Ann Otol Rhinol Laryngol Suppl 1990;150:2-28.

  9. Gaissert HA, Grillo HC, Mathisen DJ, Wain JC. Temporary and permanent restoration of airway continuity with the tracheal T-tube. J Thorac Cardiovasc Surg 1994;107:600-606.

  10. Alpert CC, Brahen NH, Halstead LA, Baker JD. Aspiration into the trachea of a tracheal T-tube in a pediatric patient. Anesth Analg 1991;72:693-695.

  11. Zulueta JJ, Gerblich AA. Upper airway obstruction due to inhalation of a tracheal T-tube resulting in pulmonary edema. Chest 1992;102:644-645.




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C?MO CITAR (Vancouver)

Rev Inst Nal Enf Resp Mex. 2007;20