Montgomery T-Tube Insertion Under ECMO in a Patient With Complete Subglottic Stenosis and Severe Lower Tracheal Collapse

Ear Nose Throat J. 2023 May;102(5):NP223-NP225. doi: 10.1177/01455613211006010. Epub 2021 Mar 25.

Abstract

The treatment of complete subglottic stenosis (SGS) remains a challenge due to anatomic and technological limitations. Placement of the Montgomery T-tube is an effective treatment option. For complete SGS patient combined with lower trachea collapse, the ventilation management during the T-tube insertion process is more complicated. Here, we report a case with complete SGS combined with severe lower trachea collapse, which was successfully managed with T-tube insertion under extracorporeal membrane oxygenation.

Keywords: T-tube; acquired subglottic stenosis; bronchoscopy; extracorporeal membrane oxygenation.

MeSH terms

  • Constriction, Pathologic
  • Extracorporeal Membrane Oxygenation*
  • Humans