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Ann Thorac Surg 2005;80:2387-2389
© 2005 The Society of Thoracic Surgeons

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A New Technique for T-Tube Insertion in Tracheal Stenosis Located Above the Tracheal Stoma

Benoit J. Bibas, MD a , * , Roberto A. Bibas, MD b

a Department of Anatomy, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
b Department of General Thoracic Surgery, Hospital dos Servidores do Estado, Ministry of Health, Rio de Janeiro, Brazil

Accepted for publication June 21, 2004.

* Address correspondence to Dr Benoit Bibas, Rua Muniz Barreto 584, CEP 22251–090, Botafogo, Rio de Janeiro, Brazil (Email: bjbibas{at}click21.com.br).

Tracheal stenosis is one of the main complications of long-term intubation. The Montgomery T-tube is a safe way to treat patients with tracheal stenosis who are unable to undergo surgical procedures. We describe a simple and practical technique for the insertion of the T-tube in tracheal stenosis located above the tracheostomy, while maintaining ventilation throughout the whole procedure.






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