Montgomery T-Tube Insertion Under ECMO in a Patient With Complete Subglottic Stenosis and Severe Lower Tracheal Collapse

Jin, Beibei; Wang, Ting; Wang, Yuling; Zhang, Jie

doi:10.1177/01455613211006010

Cited by 3 publications

(9 citation statements)

References 7 publications

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“…Tracheal stenosis confined to the subglottic area is mainly caused by endotracheal intubation or incision. [4] Tracheal stenosis in our 3 cases here was due to tracheal intubation/incision.…”

Section: Discussionmentioning

confidence: 69%

“…[3] Endoscopic interventional treatments, such as electrosurgical release, balloon dilatation, and freezing, effectively treat membranous subglottic tracheal stenosis. [4] However, complex subglottic stenosis (stenosis length ≥10 mm with softening collapse or tracheal atresia) often requires stent placement. Silicone stent placement can cause serious complications, such as granulation hyperplasia and displacement, which is a challenging problem in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

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Case series: Montgomery T-tube placement for subglottic tracheal stenosis: a report of 3 cases

et al. 2023

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Rationale: Subglottic tracheal stenosis is stenosis of the trachea between the vocal cords and the lower margin of the cricoid cartilage. The Montgomery T-tube is used as a tracheostomy tube and a combined tracheal stent to avoid postoperative tracheal stenosis. Patient concerns: Because the stenosis is close to the glottis, surgical treatment is complex, and many complications may arise. Diagnoses: Subglottic tracheal stenosis. Interventions: The patients underwent endotracheal intubation or tracheotomy because of acute pancreatitis, laryngeal malignancy, or cerebral hemorrhage after endotracheal intubation or tracheotomy and presented with varying degrees of tracheal stenosis and dyspnea. We relieved airway stenosis and improved dyspnea in these 3 patients by placing a Montgomery T-tube. Outcomes: None of the 3 patients had intraoperative complications. In 2 of the cases, airway secretions were stored after surgery. Lessons: Montgomery T-tube placement is safe and effective for patients with complex subglottic tracheal stenosis.

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Section: Discussionmentioning

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Case series: Montgomery T-tube placement for subglottic tracheal stenosis: a report of 3 cases

et al. 2023

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“…In cats, tracheal collapse usually occurs secondary to tumours or foreign bodies, while primary tracheal collapse is rare (Bell et al., 2006; Culp et al., 2007). To the best of our knowledge, only one case of extracavitary ring prosthesis correction has been reported in cats (Mims et al., 2008; Jin et al., 2021).…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, interventional radiology treatment was mandatory to save cat's life. Tracheal stents can have complications such as inflammation, bacterial tracheitis, stent breakage, migration, and shortening after implantation (Durant et al., 2012; Jin et al., 2021; Mittleman et al., 2004; Moritz et al., 2004; Radlinsky et al., 1997; Sura & Krahwinkel, 2008; Tinga et al., 2015). Furthermore, many cats are highly active and perform greater vertical movements compared to dogs.…”

Section: Discussionmentioning

confidence: 99%

Self‐expanding tracheal stent placement in a cat with primary tracheal collapse

Tanaka

Uemura

2022

Veterinary Medicine & Sci

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A 12‐year‐old mixed‐breed spayed female cat presented with dyspnoea, open‐mouthed breathing, and cyanosis that was difficult to control with medical pharmacotherapy; the cat was diagnosed with the primary tracheal collapse of the neck and chest regions. The diagnosis was confirmed by dynamic chest radiography, tracheal endoscopy, and computed tomography (CT). Tracheal endoscopy and CT showed dropsy of the dorsal membranous wall over most of the trachea. A self‐expanding Nitinol cross‐and‐hook braided stent was placed along the entire tracheal lumen using surgical X‐ray fluoroscopy. Bacterial cultures in the trachea were negative. Dyspnoea disappeared immediately after the endotracheal stent was implanted. Although the long‐term prognosis remains under observation, the short‐ to medium‐term prognosis was very good. These results suggest that stenting may be useful in the treatment of primary tracheal collapse in cats.

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“…Understandably, severe obstruction and respiratory failure may warrant tracheostomy. Tracheostomy with Montgomery T-tube placement is a permanent option for high risk surgical candidates [16]. Other surgical techniques include laryngotracheal reconstruction and an experimental "Maddern procedure" that shaves off the stenosis endoscopically and relines the cricoid with a graft held in place for a couple of weeks with a silicone stent [17].…”

Section: Introductionmentioning

confidence: 99%