Three-dimensional Modeled T-tube Design and Insertion in a Patient With Tracheal Dehiscence

被引：24

作者：

Cheng, George Z. ^{[1
]}

Folch, Erik ^{[1
]}

Brik, Robert ^{[1
]}

Gangadharan, Sidhu ^{[1
]}

Mallur, Pavan ^{[2
]}

Wilson, Jennifer H. ^{[1
]}

Husta, Bryan ^{[1
]}

Majid, Adnan ^{[1
]}

机构：

[1] Harvard Univ, Div Thorac Surg & Intervent Pulmonol, Beth Israel Deaconess Med Ctr, Sch Med, Boston, MA 02215 USA

[2] Harvard Univ, Sect Otol & Laryngol, Beth Israel Deaconess Med Ctr, Sch Med, Boston, MA 02215 USA

来源：

CHEST | 2015年 / 148卷 / 04期

关键词：

STENT;

D O I：

10.1378/chest.15-0240

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A 68-year-old man with recurrent medullary thyroid cancer underwent cervical tracheal resection and reconstruction. His course was complicated by tracheal anastomotic dehiscence, right carotid blowout, and ultimately cervical tracheoplasty with AlloDerm. Given the complex vascular interventions and upper-airway anatomy, a custom-designed Montgomery T-tube was designed for him. Three-dimensional digital reconstruction of his upper airways was obtained from a CT scan. The T-tube was designed and fabricated based on the digital trachea model and was subsequently placed successfully. Follow-up CT scan and bronchoscopy confirmed placement and revealed no granulation tissue at 4 weeks. The patient was discharged to home with the ability to phonate. To our knowledge, this is the first demonstration of three-dimensional modeling of an upper-airway defect with subsequent T-tube design using engineering software. The success of this case demonstrates a possible avenue for personalized airway prosthesis design and manufacturing in the future.

引用

页码：E106 / E108

页数：3

共 5 条

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