Background: Endoprosthesis are being used in the everyday clinical practice either as a permanent solution or transient. They can be used in both benign and malignant situations.
Case presentation: We report a case in which a temporary Montgomery cannula is used in conjunction with therapeutic bronchoscopy to manage a patient with failed tracheostomy decannulation secondary to a distal complex tracheal stenosis.
Conclusions: This innovative use of the Montgomery cannula allowed for successful management of the patient's tracheal stenosis and subsequent tracheostomy tube decannulation.
Keywords: Difficult decannulation; Interventional pulmonology; Montgomery cannula; Silicone stent; Therapeutic bronchoscopy; Tracheal stenosis; Tracheotomy.