Subglottic Stenosis Above Tracheal Stoma: Technique for Montgomery T-Tube Insertion

The insertion of the Montgomery T-tube can be a difficult and time-consuming procedure if the stricture is located above the tracheal stoma, especially in individuals with short, obese necks. This article reports a modified insertion technique that is very useful in patients with severe fibrosis that makes it difficult to correctly position the proximal end of the T-tube's intraluminal limb. We have successfully performed this technique in 108 procedures in 69 patients since 2005, irrespective of the stoma location. (Ann Thorac Surg 2010;89:2044-6) (C) 2010 by The Society of Thoracic Surgeons