Gan A, Varadarajan V, Rothera M P
Department of Paediatric Otolaryngology,Royal Manchester Children's Hospital,UK.
J Laryngol Otol. 2015 Mar;129(3):273-5. doi: 10.1017/S0022215114002588.
The Montgomery T-tube is used in a number of conditions that require safe tracheal stenting. Specific lengths of T-tube limbs are occasionally needed in patients with complex airway anatomy or differing neck proportions; this requires customisation of the T-tube limbs. This is done either by pre-ordering customised T-tubes from the manufacturer (which needs to be planned ahead of time) or using a tube cutter in the operating theatre. However, the latter does not provide a 'factory like' bevelled edge when shortened, which increases the risk of mucosal trauma and granulation formation.
This paper reports a novel technique for customising the length of existing Montgomery T-tubes, with preservation of the bevelled edges. This technique can be easily performed with basic equipment available in operating theatres.
蒙哥马利T形管用于多种需要安全气管支架置入的情况。对于气道解剖结构复杂或颈部比例不同的患者，有时需要特定长度的T形管臂；这就需要定制T形管臂。这可以通过提前向制造商预订定制的T形管（这需要提前规划）或在手术室使用切管器来完成。然而，后者在缩短T形管时不会提供“工厂式”的斜边，这增加了黏膜创伤和肉芽形成的风险。
本文报告一种定制现有蒙哥马利T形管长度并保留斜边的新技术。该技术使用手术室现有的基本设备即可轻松完成。
