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Customising the length of the Montgomery T-tube whilst retaining a bevelled edge

Published online by Cambridge University Press:  23 March 2015

A Gan ,
V Varadarajan  and
M P Rothera
A Gan*
Affiliation:
Department of Paediatric Otolaryngology, Royal Manchester Children's Hospital, UK
V Varadarajan
Affiliation:
Department of Paediatric Otolaryngology, Royal Manchester Children's Hospital, UK
M P Rothera
Affiliation:
Department of Paediatric Otolaryngology, Royal Manchester Children's Hospital, UK
*
Address for correspondence: Mr Alex Gan, Department of Paediatric Otolaryngology, Royal Manchester Children's Hospital, Central Manchester University Hospitals NHS Foundation Trust, Oxford Road, Manchester M13 9WL, UK Fax: 0161 701 5462 E-mail: alexgck@gmail.com
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Abstract

Background:

The Montgomery T-tube is used in a number of conditions that require safe tracheal stenting. Specific lengths of T-tube limbs are occasionally needed in patients with complex airway anatomy or differing neck proportions; this requires customisation of the T-tube limbs. This is done either by pre-ordering customised T-tubes from the manufacturer (which needs to be planned ahead of time) or using a tube cutter in the operating theatre. However, the latter does not provide a ‘factory like’ bevelled edge when shortened, which increases the risk of mucosal trauma and granulation formation.

Objective:

This paper reports a novel technique for customising the length of existing Montgomery T-tubes, with preservation of the bevelled edges. This technique can be easily performed with basic equipment available in operating theatres.

Keywords

Airway ObstructionTracheal StenosisTracheaLarynxTracheostomyStents
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 3 , March 2015 , pp. 273 - 275
Copyright
Copyright © JLO (1984) Limited 2015 

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References

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