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 journalArticle

6 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 languageEnglish
Pages (from-to)327-329
Number of pages3
JournalThe Annals of thoracic surgery
Volume51
Issue number2
DOIs
Publication statusPublished - 1991

Fingerprint

Pathologic Constriction
Tracheostomy
Silicones
Local Anesthesia
Trachea
Mouth
Catheters
Extremities

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Kato, R., Kobayashi, T., Watanabe, M., Kawamura, M., Kikuchi, K., Kobayashi, K., & Ishihara, T. (1991). Improved technique for inserting a T tube in patients with subglottic stenosis. The Annals of thoracic surgery, 51(2), 327-329. https://doi.org/10.1016/0003-4975(91)90820-G

Improved technique for inserting a T tube in patients with subglottic stenosis. / Kato, Ryoichi; Kobayashi, Teruhisa; Watanabe, Masazumi; Kawamura, Masafumi; Kikuchi, Koji; Kobayashi, Koichi; Ishihara, Tsuneo.

In: The Annals of thoracic surgery, Vol. 51, No. 2, 1991, p. 327-329.

Research output: Contribution to journalArticle

Kato, R, Kobayashi, T, Watanabe, M, Kawamura, M, Kikuchi, K, Kobayashi, K & Ishihara, T 1991, 'Improved technique for inserting a T tube in patients with subglottic stenosis', The Annals of thoracic surgery, vol. 51, no. 2, pp. 327-329. https://doi.org/10.1016/0003-4975(91)90820-G
Kato, Ryoichi ; Kobayashi, Teruhisa ; Watanabe, Masazumi ; Kawamura, Masafumi ; Kikuchi, Koji ; Kobayashi, Koichi ; Ishihara, Tsuneo. / Improved technique for inserting a T tube in patients with subglottic stenosis. In: The Annals of thoracic surgery. 1991 ; Vol. 51, No. 2. pp. 327-329.
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AU - Kikuchi, Koji

AU - Kobayashi, Koichi

AU - Ishihara, Tsuneo

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