An Innovative Solution for T-Tube Obstruction: The Tracheostomy-Customized Stent Combination

被引：1

作者：

Mehta, Ravindra M. ^{[1
]}

Singla, Abhinav ^{[1
]}

Bhat, Rajani S. ^{[1
]}

Rao, Rasika ^{[2
]}

Agarwal, Ritesh ^{[3
]}

机构：

[1] Apollo Hosp, Dept Pulm Crit Care & Sleep Med, Bangalore, Karnataka, India

[2] Sri Sathya Sai Inst Higher Med Sci, Dept Ear Nose & Throat, Bangalore, Karnataka, India

[3] Postgrad Inst Med Educ & Res, Dept Pulm & Crit Care Med, Chandigarh, India

来源：

LARYNGOSCOPE | 2018年 / 128卷 / 08期

关键词：

Airway stenosis; stents; prosthesis; blockage; quality of life; SILICONE STENTS; PALLIATION;

D O I：

10.1002/lary.27046

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

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.

引用

页码：1795 / 1797

页数：3

共 11 条

[1] On-Site Customization of Silicone Stents: Towards Optimal Palliation of Complex Airway Conditions [J].

Breen, David P. ;

Dutau, Herve .

RESPIRATION, 2009, 77 (04) :447-453

[2]

Dumon JF., 1996, J Bronchol, V3, P6, DOI [10.1097/00128594-199601000-00003, DOI 10.1097/00128594-199601000-00003]

[3] TEMPORARY AND PERMANENT RESTORATION OF AIRWAY CONTINUITY WITH THE TRACHEAL T-TUBE [J].

GAISSERT, HA ;

GRILLO, HC ;

MATHISEN, DJ ;

WAIN, JC ;

DEMEESTER, TR ;

TODD, TRJ ;

URSCHEL, HC ;

EGAN, T ;

COOPER, JD .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1994, 107 (02) :600-606

[4] PALLIATION OF MALIGNANT TRACHEAL STRICTURES USING SILICONE T-TUBES [J].

INSALL, RL ;

MORRITT, GN .

THORAX, 1991, 46 (03) :168-171

[5]

Kaut K, 1995, DIMENS CRIT CARE NUR, V15, P298

[6]

Lamb CR, 2013, PRINCIPLES PRACTICE, P331, DOI 10.1007/978-1-4614-4292-9_31

[7] Silicone T-tube for complex laryngotracheal problems [J].

Liu, HC ;

Lee, KS ;

Huang, CJ ;

Cheng, CR ;

Hsu, WH ;

Huang, MH .

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2002, 21 (02) :326-330

[8] The role of silicone stents in the treatment of cicatricial tracheal stenoses [J].

Puma, F ;

Ragusa, M ;

Avenia, N ;

Urbani, M ;

Droghetti, A ;

Daddi, N ;

Daddi, G .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2000, 120 (06) :1064-1069

[9] GRANULOMA ASSOCIATED WITH FENESTRATED TRACHEOSTOMY TUBES [J].

SIDDHARTH, P ;

MAZZARELLA, L .

AMERICAN JOURNAL OF SURGERY, 1985, 150 (02) :279-280

[10] The Montgomery T-tube tracheal stent [J].

Wahidi, MM ;

Ernst, A .

CLINICS IN CHEST MEDICINE, 2003, 24 (03) :437-+

← 1 2 →