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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.
R Kato, and
T Kobayashi, and
M Watanabe, and
M Kawamura, and
K Kikuchi, and
K Kobayashi, and
T Ishihara
January 2011,
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery,
R Kato, and
T Kobayashi, and
M Watanabe, and
M Kawamura, and
K Kikuchi, and
K Kobayashi, and
T Ishihara
June 2011,
Interactive cardiovascular and thoracic surgery,
R Kato, and
T Kobayashi, and
M Watanabe, and
M Kawamura, and
K Kikuchi, and
K Kobayashi, and
T Ishihara
June 2010,
The Annals of thoracic surgery,
R Kato, and
T Kobayashi, and
M Watanabe, and
M Kawamura, and
K Kikuchi, and
K Kobayashi, and
T Ishihara
February 2014,
Asian cardiovascular & thoracic annals,
R Kato, and
T Kobayashi, and
M Watanabe, and
M Kawamura, and
K Kikuchi, and
K Kobayashi, and
T Ishihara
February 2018,
Indian journal of anaesthesia,
R Kato, and
T Kobayashi, and
M Watanabe, and
M Kawamura, and
K Kikuchi, and
K Kobayashi, and
T Ishihara
May 2023,
Iranian journal of otorhinolaryngology,
R Kato, and
T Kobayashi, and
M Watanabe, and
M Kawamura, and
K Kikuchi, and
K Kobayashi, and
T Ishihara
January 2016,
American journal of otolaryngology,
R Kato, and
T Kobayashi, and
M Watanabe, and
M Kawamura, and
K Kikuchi, and
K Kobayashi, and
T Ishihara
November 2004,
Masui. The Japanese journal of anesthesiology,
R Kato, and
T Kobayashi, and
M Watanabe, and
M Kawamura, and
K Kikuchi, and
K Kobayashi, and
T Ishihara
June 2021,
Asian journal of surgery,
R Kato, and
T Kobayashi, and
M Watanabe, and
M Kawamura, and
K Kikuchi, and
K Kobayashi, and
T Ishihara
January 2016,
Lung India : official organ of Indian Chest Society,
