An innovative solution for T‐tube obstruction: The tracheostomy–customized stent combination. (14th December 2017)

• Record Type: Journal Article
• Authors: Mehta, Ravindra M.; Singla, Abhinav; Bhat, Rajani S.; Rao, Rasika; Agarwal, Ritesh
• Is Part Of: Laryngoscope. Volume 128:Number 8(2018)
• Page Start: 1795
• Page End: 1797
• Publication Date: 2017-12-14
• Subjects: Airway stenosis -- stents -- prosthesis -- blockage -- quality of life; Otolaryngology -- Periodicals; 617.51005
• DOI: 10.1002/lary.27046
• Languages: English
• ISSNs: 0023-852X

Abstract

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