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Subglottic stenosis above tracheal stoma: technique for Montgomery T-tube insertion.

Annals of Thoracic Surgery, 2010


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.
[Therapeutic approach and results in the treatment of subglottic tracheal stenosis] Jović R, Baros B.