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Role of Montgomery T-tube stent for laryngotracheal stenosis.

作者信息

Prasanna Kumar Saravanam, Ravikumar Arunachalam, Senthil Kannan, Somu Lakshman, Nazrin Mohd Ismail

机构信息

Department of E.N.T. Head & Neck Surgery, Sri Ramachandra Medical College & Research Institute, Porur, Chennai 600116, India.

Resident in Otorhinolaryngology, Sri Ramachandra Medical College & Research Institute, Porur, Chennai 600116, India.

出版信息

Auris Nasus Larynx. 2014 Apr;41(2):195-200. doi: 10.1016/j.anl.2013.10.008. Epub 2013 Oct 27.


DOI:10.1016/j.anl.2013.10.008
PMID:24172854
Abstract

OBJECTIVE: To identify the indications, complications and outcome of patients of LTS managed with Montgomery T-tube stenting and review the current literature about the role of stenting in LTS. METHODS: Retrospective chart reviews of 39 patients of laryngotracheal stenosis managed by T-tube stenting for temporary or definitive treatment during the period 2004-2011 were considered. The data on indications for stenting, type of stent, problems/complications of stenting, duration of stenting, additional intervention and outcome of management were collected, tabulated and analyzed. RESULTS: Of the 51 cases of laryngotracheal stenosis 39 patients were treated by Montgomery T-tube stenting. There was no mortality associated with the procedure or stenting. 82% of the patients were successfully decannulated. The problems and complications encountered were crusting within the tube in 44% and granulation at the subglottis in 33%. Two patients had complication due to T-tube itself: One patient developed tracheomalacia and the other had stenosis at both ends of the T-tube. CONCLUSION: Stenting still has a role in management of inoperable or in some deadlock situations where resection anastomosis is not feasible. It is easier to introduce the stent and to maintain it. Complications are minor and can be managed easily. It is safe for long term use. We emphasize that the treating surgeon needs to use prudence while treating stenosis using stents.

摘要

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引用本文的文献

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BMC Pulm Med. 2025-5-30

[2]
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J Thorac Dis. 2024-8-31

[3]
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J Bras Pneumol. 2022-3-14

[4]
Preliminary Experience With a Novel Metallic Segmented Transcordal Stent Modified With Three-Dimensional Printing for Inoperable Malignant Laryngotracheal Stenosis.

Front Oncol. 2021-7-26

[5]
Application of Montgomery T-Tube Placement in Treating Cotton-Myer IV Subglottic Airway Atresia after Bi-Level Airway Recanalization.

Comput Math Methods Med. 2021

[6]
Efficacy and Safety Profile of Montgomery T-Tube Implantation in Patients with Tracheal Stenosis.

Can Respir J. 2020-10-7

[7]
Voice Outcomes in Laryngotracheal Stenosis: Impact of the Montgomery T-tube.

Clin Surg. 2018-1

[8]
Application of the Montgomery T-tube in subglottic tracheal benign stenosis.

J Thorac Dis. 2018-5

[9]
Traumatic laryngotracheal stenosis treated by hyoid-sternohyoid osseomuscular flap combined with xenogenic acellular dermal matrix: A case report and literature review.

J Int Med Res. 2017-10

[10]
Challenges in the Management of Laryngeal Stenosis.

Indian J Otolaryngol Head Neck Surg. 2016-9

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