Goto Taichiro, Akanabe Kumi, Oyamada Yoshitaka, Kato Ryoichi
Department of General Thoracic Surgery, National Hospital Organization Tokyo Medical Center, Tokyo, Japan.
Interact Cardiovasc Thorac Surg. 2011 Jun;12(6):895-8. doi: 10.1510/icvts.2010.264879. Epub 2011 Mar 8.
T tube insertion for subglottic stenosis is often difficult due to bending of the T tube itself. A T tube could be inserted safely and consistently in a patient with severe subglottic stenosis employing a method that we newly devised. Our method can be performed under local anesthesia without special instruments and is technically straightforward. And also, our method is considered to be applicable to marked stenosis and stenosis with a complex morphology. Herein we present an improved method for inserting a silicone T tube through a tracheostomy stoma in patients with severe subglottic stenosis.
由于T形管自身的弯曲，声门下狭窄患者插入T形管通常很困难。采用我们新设计的方法，可安全、持续地为严重声门下狭窄患者插入T形管。我们的方法可在局部麻醉下进行，无需特殊器械，技术操作简单。此外，我们的方法被认为适用于严重狭窄和形态复杂的狭窄。在此，我们介绍一种改进的方法，用于通过气管造口术切口为严重声门下狭窄患者插入硅胶T形管。
