T管梗阻的创新解决方案：气管造口术定制支架组合。
An innovative solution for T-tube obstruction: The tracheostomy-customized stent combination.
作者信息
Mehta Ravindra M, Singla Abhinav, Bhat Rajani S, Rao Rasika, Agarwal Ritesh
机构信息
Department of Pulmonary, Critical Care, and Sleep Medicine , Apollo Hospitals, Bangalore, India.
Department of Ear, Nose, and Throat , Sri Sathya Sai Institute of Higher Medical Sciences, Bangalore, India.
出版信息
Laryngoscope. 2018 Aug;128(8):1795-1797. doi: 10.1002/lary.27046. Epub 2017 Dec 14.
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. Laryngoscope, 1795-1797, 2018.
蒙哥马利T形管（MTT）是气管切开术后气管狭窄的一种有用工具。然而，MTT可能会堵塞。我们报告了一系列危及生命的MTT堵塞病例，其中实施了一种分功能方案，即在气管造口上方放置定制的硅胶杜蒙支架，以维持气道通畅和发声功能。这种气管造口定制支架组合与MTT具有相同功能，由于气管造口易于吸引，安全性更高。通过上方带孔的气管造口和支架，可有效保留发声功能。对于严重的MTT堵塞，我们推荐这种策略作为常规气管造口术的更优选择。《喉镜》，2018年，第1795 - 1797页。
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