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

The Journal of Laryngology and Otology
A GanM P Rothera

Abstract

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. 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.

References

Sep 30, 2000·Clinical Otolaryngology and Allied Sciences·B E Hartley, R T Cotton
Sep 1, 1965·Archives of Otolaryngology·W W MONTGOMERY
Oct 11, 2003·Clinics in Chest Medicine·Momen M Wahidi, Armin Ernst
Jun 28, 2005·International Journal of Pediatric Otorhinolaryngology·P S PhillipsD M Albert
Oct 27, 2007·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·A MinniR Filipo

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