Manual for Use of Montgomery® Laryngeal, Tracheal, and Esophageal Prostheses: Update 1990

Montgomery, William W.; Montgomery, S. K.

doi:10.1177/00034894900990s901

Cited by 87 publications

(51 citation statements)

References 2 publications

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“…The basic devices, such as the finger cot and the rolled silastic sheet, are customised [19]. Over time, these devices have been largely replaced by the Aboulker stent [2], the Montgomery T-tube [43], the Healy-Montgomery paediatric T-tube and the Montgomery [46] or the Eliachar laryngotracheal stents [16]. However, these stents do not truly meet the aforementioned requirements for safe use without potential damage to the reconstructed airway.…”

Section: Laryngeal Stentsmentioning

confidence: 99%

Applied Surgical Anatomy of the Larynx and Trachea

Monnier¹

2010

Pediatric Airway Surgery

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Section: Laryngeal Stentsmentioning

confidence: 99%

Applied Surgical Anatomy of the Larynx and Trachea

Monnier¹

2010

Pediatric Airway Surgery

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“…T-tube introduced by Montgomery, provides a stable and physiologic airway to the patient and can be kept in place for long periods of time to follow up the progress of patients till the time decanulation can be considered [9]. It can be used primarily as a definitive treatment or in the management of inoperable conditions or as an adjunct after resection anastomosis till adequate healing is achieved [10][11][12][13].…”

Section: Discussionmentioning

confidence: 99%

Challenges in the Management of Laryngeal Stenosis

Nair

Nilakantan

Sood

et al. 2015

Indian J Otolaryngol Head Neck Surg

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Laryngeal stenosis is one of the most complex and challenging problems in the field of head and neck surgery. The management involves a multidisciplinary approach with multiple complex procedures. In this study we discuss our experience of laryngeal stenosis with regards to patient characteristics, cause and management. A retrospective analysis of 35 patients of laryngeal stenosis treated at a tertiary care centre was evaluated. Inclusion criteria were all patients with laryngeal stenosis who required surgical intervention. Exclusion criteria were patients with associated tracheal stenosis and laryngeal stenosis due to cancer. Demographic data was recorded and findings relating to aetiology, characteristics of stenosis and the various aspects of therapeutic procedures performed are discussed with review of literature. Among 35 patients, 24 were males and 11 females of the age group 2-79 years. 2 (5.7 %) patients had supraglottic stenosis, 11 (31.4 %) had glottis stenosis, 16 (45.7 %) had subglottic stenosis and 6 (17.1 %) had combined multiple sites stenosis. Each patient underwent an average of 3.22 surgical procedures like microlaryngoscopy and excision with cold instrument, CO2 laser excision or open procedures like laryngofissure and excision and laryngoplasty. Montgomery t tube insertion was a common procedure in 17 patients (48.6 %). Of the total 35 patients with severe LS, 27 (77.1 %) patients were successfully decanulated. The results of glottic (100 %) and supraglottic stenosis (100 %) are excellent as compared to subglottic (68.8 %) and combined stenosis (50 %) of multiple sites. Laryngeal stenosis with airway compromise causes significant morbidity to the patients and is a difficult condition to treat in both adult and pediatric population. The need for multiple surgical procedures is common in the treatment of laryngeal stenosis with the t-tube being an important aid in the management of this condition. Trauma especially post intubation trauma is the commonest cause of laryngeal stenosis and the involvement of subglottis has poor outcome as compared to other subsites.

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“…Die Silikonbolzen nach Berkovits [4] oder Montgomery [19] haben ebenfalls Fixationsprobleme und behindern die Stimmbildung stark. Das T-Silikonrohr nach Montgomery [20] Unabhängig von der Technik hat jeder Stent den Nachteil, dass er als Fremdkörper wirkt und durch seine mechanische Irritation zu mehr oder weniger starker Bildung von Granulationsgewebe im laryngotrachealen Segment anregt. Schon aus diesem Grunde ist man bestrebt, den Platzhalter so früh wie möglich wieder zu entfernen.…”

Section: Platzhaltertubus Platzhalterbolzenunclassified

Management von Postintubationsstenosen bei Kindern

Schultz-Coulon

2004

HNO

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Extubation difficulties after long-term endotracheal intubation in neonates and infants require immediate re-intubation with a somewhat thinner endotracheal tube, continuation of long-term intubation for another 7-14 days with antibiotic and antiphlogistic therapy including antireflux treatment as well as a subtile endoscopic examination. A tracheostomy is not indicated before several attempts of extubation have failed. An anterior cricoid split should be indicated with great care and in premature neonates only. In manifest cicatrical stenoses, subtile endoscopic diagnostics are an essential prerequisite for the choice of surgical method and time of surgery. In rather mild stenoses (grade II), laryngotracheal reconstruction (LTR) with anterior wall cartilage grafting is presently regarded as method of choice. For subglottic stenoses of higher degrees (grade III and IV), partial cricotracheal resection (PCTR) is felt to be the most successful procedure. For all scarred stenoses involving the glottic level, LTR with posterior and anterior wall cartilage grafting appears to be the only suitable treatment. LTR with anterior wall grafting only as well as the PCTR can be performed as a single stage procedure with postoperative long-term intubation on an intensive care unit for one or more days. LTR with posterior and anterior wall grafting requires long-term stenting for several weeks or months depending upon the individual condition. For long-term stenting, our so-called double-tube-technique using a modified Montgomery T silicon tube together with a perforated tracheal cannula has proved to be the safest and least irksome technique.

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Manual for Use of Montgomery® Laryngeal, Tracheal, and Esophageal Prostheses: Update 1990

Cited by 87 publications

References 2 publications

Applied Surgical Anatomy of the Larynx and Trachea

Applied Surgical Anatomy of the Larynx and Trachea

Challenges in the Management of Laryngeal Stenosis

Management von Postintubationsstenosen bei Kindern

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