Subglottic stenosis above tracheal stoma: technique for Montgomery T-tube insertion.

The insertion of the Montgomery T-tube can be a difficult and time-consuming procedure if the stricture is located above the tracheal stoma, especially in individuals with short, obese necks. This article reports a modified insertion technique that is very useful in patients with severe fibrosis that makes it difficult to correctly position the proximal end of the T-tube's intraluminal limb. We have successfully performed this technique in 108 procedures in 69 patients since 2005, irrespective of the stoma location. 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.