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

Ryoichi Kato; Teruhisa Kobayashi; Masazumi Watanabe; Masafumi Kawamura; Koji Kikuchi; Koichi Kobayashi; Tsuneo Ishihara

doi:10.1016/0003-4975(91)90820-G

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

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

School of Medicine

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	327-329
Number of pages	3
Journal	The Annals of Thoracic Surgery
Volume	51
Issue number	2
DOIs	https://doi.org/10.1016/0003-4975(91)90820-G
Publication status	Published - 1991 Feb

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1016/0003-4975(91)90820-G

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abstract = "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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AU - Kato, Ryoichi

AU - Kobayashi, Teruhisa

AU - Watanabe, Masazumi

AU - Kawamura, Masafumi

AU - Kikuchi, Koji

AU - Kobayashi, Koichi

AU - Ishihara, Tsuneo

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N2 - 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.

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

Abstract

ASJC Scopus subject areas

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