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The Annals of Thoracic Surgery, Vol 51, 327-329, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

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

R Kato, T Kobayashi, M Watanabe, M Kawamura, K Kikuchi, K Kobayashi and T Ishihara
Department of Surgery, School of Medicine, Keio University, Tokyo, 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.

This article has been cited by other articles:

				I. Takanami, T. Abiko, and H. Kurihara Fracture of silicone tracheal T-tube: a rare complication. J. Thorac. Cardiovasc. Surg., November 1, 2007; 134(5): 1362 - 1363. [Full Text] [PDF]