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Dilation of simultaneous laryngeal and oesophageal stricture with two T-tubes

Published online by Cambridge University Press:  29 June 2007

Zhi Wang
Zhi Wang*
Affiliation:
Department of Otolaryngology, Tangdu Teaching Hospital, Xi'an City 710038, Peoples Republic of China.
*
Dr Zhi Wang, M.D., Laser Laboratory, Lahey Clinical Medical Centre, Burlington, MA 01805, USA. Fax: (617) 273 5209
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Abstract

The treatment of double strictures in the airway and the oesophagus has always been time-consuming and causes additional suffering. A new technique using an open approach with the placement of two Montgomery silicone T-tubes to support and dilate the two strictures was successfully performed on a patient after caustic substance ingestion. Scar tissue was incised before two T-tubes were positioned into the larynx and oesophagus through a laryngo-fissure approach. The tubes remained in position for one year and no complications occurred. No foreign body sensation or prosthesis migration was observed and the patient had nearly normal peroral alimentation. After removal of the tubes, follow-up for an additional two years revealed no recurrence of the stenoses and normal alimentation without stridor. This technique permits simultaneous stenting of strictures of the larynx and oesophagus by using a connecting suture between the superior parts of two stents.

Keywords

LaryngostenosisOesophageal stenosisStents
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 1 , January 1994 , pp. 42 - 43
Copyright
Copyright © JLO (1984) Limited 1994

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Footnotes

Presented at the National Meeting of Otolaryngology in Bidaihe City, Peoples Republic of China, July 1991 (excluding observations of follow-up after extubation).

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