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  • Title: An innovative solution for T-tube obstruction: The tracheostomy-customized stent combination.
    Author: Mehta RM, Singla A, Bhat RS, Rao R, Agarwal R.
    Journal: Laryngoscope; 2018 Aug; 128(8):1795-1797. PubMed ID: 29238992.
    Abstract:
    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.
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