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Masazumi Watanabe
Masafumi Kawamura
Koichi Kobayashi
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Ann Thorac Surg 1991;51:327-329
© 1991 The Society of Thoracic Surgeons

Articles

Improved technique for inserting a T tube in patients with subglottic stenosis

Ryoichi Kato, MD*, Teruhisa Kobayashi, MD, Masazumi Watanabe, MD, Masafumi Kawamura, MD, Koji Kikuchi, MD, Koichi Kobayashi, MD, Tsuneo Ishihara, MD

Department of Surgery, School of Medicine, Keio University, Tokyo, Japan

Accepted for publication October 1, 1990.

* Address reprint requests to Dr Kato, Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160, Japan.

An improved method for inserting a silicone T tube through a tracheostomy stoma in patients with subglottic stenosis is presented. A silicone T tube is pulled into the trachea with a catheter that is inserted into the tracheostomy stoma, advanced through the stenotic subglottic space, and pulled out the mouth. A cone-shaped dilator is placed beforehand at the proximal end of the vertical limb of the T tube to facilitate the passage of that end through the stenotic subglottic space. This method was used in 4 patients with good results. We suggest this technique be tried when attempts to insert a T tube by the usual method fail, as it can be performed under local anesthesia without special instruments and is technically easy.




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Copyright © 1991 by The Society of Thoracic Surgeons.