Use of the silicone tracheal T-tube for tracheostenosis or tracheomalacia

Hung Chang Liu, Liang Shun Wang, Huei Jyh Fahn, Yu Chin Lee, Chong Chen Lu, Kwok Hom Chan, Min Hsiung Huang

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background. Tracheobtenosib and tracheomalacia are trivial diseases. The conventional choice of managements with tracheostomy, either temporary or long-term usage, can only partially resolve the problems of airway obstruction. Silicone tracheal T-tube presents a substitute for it. Methods. We present 5 patients with tracheostenosis or tracheomalacia managed with nine procedures of long silicone Montgomery T-tube prothesis between 1984 and 1994 in VGH-Taipei. The primary diagnosis included tracheal injury (2), postintubation tracheal stenosis (2), and stenosis due to endotracheal tuberculosis (1). Three patients received a long segmental T-tube for permanent endotracheal stenting and the other two patients used T-tube insertion for temporary stenting of the trachea for 7 and 11 months, respectively, with satisfactory results. Results. All patients got immediate benefit from the prothesis in respiration with simple postoperative care. Two patients with temporary T-tube placement had it successfully removed in 7 and 11 months, respectively. Placement of the T-tube for subglottic stenosis also protected the function of phonation. The tracheal T-tube restored airway patency reliably with good long-term results and could be the preferred management of chronic upper airway obstructive disease not amenable to surgical repair. The most common complication was airway obstruction caused by either granulations or sticky mucoid substance. Three patients and six tubes (60%) developed granulation obstruction and the average duration of granuloma formation was 7.7 months. Laser phototherapy or surgical intervention, such as tracheoplasty, with change of the T-tube was carried out for granuloma obstruction. Conclusions. T-tube is a good endoprothesis for tracheostenosis and tracheomalacia with minimal complication for cases of long tracheostenosis or complex tracheal injury.

Original languageEnglish
Pages (from-to)190-197
Number of pages8
JournalChinese Medical Journal (Taipei)
Volume58
Issue number3
Publication statusPublished - Sep 1996
Externally publishedYes

Fingerprint

Tracheomalacia
Silicones
Airway Obstruction
Granuloma
Pathologic Constriction
Tracheal Stenosis
Phonation
Postoperative Care
Tracheostomy
Wounds and Injuries
Trachea
Chronic Obstructive Pulmonary Disease
Respiration
Tuberculosis

Keywords

  • Tracheal T-tube
  • Tracheomalacia
  • Tracheostenosis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Liu, H. C., Wang, L. S., Fahn, H. J., Lee, Y. C., Lu, C. C., Chan, K. H., & Huang, M. H. (1996). Use of the silicone tracheal T-tube for tracheostenosis or tracheomalacia. Chinese Medical Journal (Taipei), 58(3), 190-197.

Use of the silicone tracheal T-tube for tracheostenosis or tracheomalacia. / Liu, Hung Chang; Wang, Liang Shun; Fahn, Huei Jyh; Lee, Yu Chin; Lu, Chong Chen; Chan, Kwok Hom; Huang, Min Hsiung.

In: Chinese Medical Journal (Taipei), Vol. 58, No. 3, 09.1996, p. 190-197.

Research output: Contribution to journalArticle

Liu, HC, Wang, LS, Fahn, HJ, Lee, YC, Lu, CC, Chan, KH & Huang, MH 1996, 'Use of the silicone tracheal T-tube for tracheostenosis or tracheomalacia', Chinese Medical Journal (Taipei), vol. 58, no. 3, pp. 190-197.
Liu HC, Wang LS, Fahn HJ, Lee YC, Lu CC, Chan KH et al. Use of the silicone tracheal T-tube for tracheostenosis or tracheomalacia. Chinese Medical Journal (Taipei). 1996 Sep;58(3):190-197.
Liu, Hung Chang ; Wang, Liang Shun ; Fahn, Huei Jyh ; Lee, Yu Chin ; Lu, Chong Chen ; Chan, Kwok Hom ; Huang, Min Hsiung. / Use of the silicone tracheal T-tube for tracheostenosis or tracheomalacia. In: Chinese Medical Journal (Taipei). 1996 ; Vol. 58, No. 3. pp. 190-197.
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abstract = "Background. Tracheobtenosib and tracheomalacia are trivial diseases. The conventional choice of managements with tracheostomy, either temporary or long-term usage, can only partially resolve the problems of airway obstruction. Silicone tracheal T-tube presents a substitute for it. Methods. We present 5 patients with tracheostenosis or tracheomalacia managed with nine procedures of long silicone Montgomery T-tube prothesis between 1984 and 1994 in VGH-Taipei. The primary diagnosis included tracheal injury (2), postintubation tracheal stenosis (2), and stenosis due to endotracheal tuberculosis (1). Three patients received a long segmental T-tube for permanent endotracheal stenting and the other two patients used T-tube insertion for temporary stenting of the trachea for 7 and 11 months, respectively, with satisfactory results. Results. All patients got immediate benefit from the prothesis in respiration with simple postoperative care. Two patients with temporary T-tube placement had it successfully removed in 7 and 11 months, respectively. Placement of the T-tube for subglottic stenosis also protected the function of phonation. The tracheal T-tube restored airway patency reliably with good long-term results and could be the preferred management of chronic upper airway obstructive disease not amenable to surgical repair. The most common complication was airway obstruction caused by either granulations or sticky mucoid substance. Three patients and six tubes (60{\%}) developed granulation obstruction and the average duration of granuloma formation was 7.7 months. Laser phototherapy or surgical intervention, such as tracheoplasty, with change of the T-tube was carried out for granuloma obstruction. Conclusions. T-tube is a good endoprothesis for tracheostenosis and tracheomalacia with minimal complication for cases of long tracheostenosis or complex tracheal injury.",
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AU - Lu, Chong Chen

AU - Chan, Kwok Hom

AU - Huang, Min Hsiung

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N2 - Background. Tracheobtenosib and tracheomalacia are trivial diseases. The conventional choice of managements with tracheostomy, either temporary or long-term usage, can only partially resolve the problems of airway obstruction. Silicone tracheal T-tube presents a substitute for it. Methods. We present 5 patients with tracheostenosis or tracheomalacia managed with nine procedures of long silicone Montgomery T-tube prothesis between 1984 and 1994 in VGH-Taipei. The primary diagnosis included tracheal injury (2), postintubation tracheal stenosis (2), and stenosis due to endotracheal tuberculosis (1). Three patients received a long segmental T-tube for permanent endotracheal stenting and the other two patients used T-tube insertion for temporary stenting of the trachea for 7 and 11 months, respectively, with satisfactory results. Results. All patients got immediate benefit from the prothesis in respiration with simple postoperative care. Two patients with temporary T-tube placement had it successfully removed in 7 and 11 months, respectively. Placement of the T-tube for subglottic stenosis also protected the function of phonation. The tracheal T-tube restored airway patency reliably with good long-term results and could be the preferred management of chronic upper airway obstructive disease not amenable to surgical repair. The most common complication was airway obstruction caused by either granulations or sticky mucoid substance. Three patients and six tubes (60%) developed granulation obstruction and the average duration of granuloma formation was 7.7 months. Laser phototherapy or surgical intervention, such as tracheoplasty, with change of the T-tube was carried out for granuloma obstruction. Conclusions. T-tube is a good endoprothesis for tracheostenosis and tracheomalacia with minimal complication for cases of long tracheostenosis or complex tracheal injury.

AB - Background. Tracheobtenosib and tracheomalacia are trivial diseases. The conventional choice of managements with tracheostomy, either temporary or long-term usage, can only partially resolve the problems of airway obstruction. Silicone tracheal T-tube presents a substitute for it. Methods. We present 5 patients with tracheostenosis or tracheomalacia managed with nine procedures of long silicone Montgomery T-tube prothesis between 1984 and 1994 in VGH-Taipei. The primary diagnosis included tracheal injury (2), postintubation tracheal stenosis (2), and stenosis due to endotracheal tuberculosis (1). Three patients received a long segmental T-tube for permanent endotracheal stenting and the other two patients used T-tube insertion for temporary stenting of the trachea for 7 and 11 months, respectively, with satisfactory results. Results. All patients got immediate benefit from the prothesis in respiration with simple postoperative care. Two patients with temporary T-tube placement had it successfully removed in 7 and 11 months, respectively. Placement of the T-tube for subglottic stenosis also protected the function of phonation. The tracheal T-tube restored airway patency reliably with good long-term results and could be the preferred management of chronic upper airway obstructive disease not amenable to surgical repair. The most common complication was airway obstruction caused by either granulations or sticky mucoid substance. Three patients and six tubes (60%) developed granulation obstruction and the average duration of granuloma formation was 7.7 months. Laser phototherapy or surgical intervention, such as tracheoplasty, with change of the T-tube was carried out for granuloma obstruction. Conclusions. T-tube is a good endoprothesis for tracheostenosis and tracheomalacia with minimal complication for cases of long tracheostenosis or complex tracheal injury.

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