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

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


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 languageEnglish
Pages (from-to)327-329
Number of pages3
JournalThe Annals of Thoracic Surgery
Issue number2
Publication statusPublished - 1991 Feb

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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