Resumen

FUENTES VALDES, Edelberto  y  CORONA MANCEBO, Sixto B. Tubo en T de Montgomery: Indicaciones y técnica. Rev Cubana Cir [online]. 2003, vol.42, n.3. ISSN 0034-7493.

Resection with termino-terminal anastomosis of trachea and cricoid cartilage is the treatment of choice for patients with tracheal or laryngotracheal stenosis. However, a group of patients will require other options due their local and/or general conditions,such as Montgomery T-tube. The objectives of this paper is to set the indications for the use of T-tube and to describe the details of the surgical technique used. Fifty two patients with non-tumoral laryngotracheal or tracheal stenosis were studied from 1984 to 2002.the main indications for the placement of T-tube were: extensive stenosis, previous tracheal resection and double stenosis, all of them probably exerting an excessive pressure on the suture line in addition to subglotic and glotic stenosis, low location of stenosis, possible lack of cooperation on the part of the patient in the inmediate postoperative period and tracheomalacia, among others. Also, the paper describes surgical maneuvers to place T-tube. Montgomery T-tube is an alternative to resection and termino-terminal anastomosis of trachea and larynx in patients who are suspected to have excessive pressure on the suture line, in stenosis of particular locations like glotic and subglotic locations and in patients who are expected to be less cooperative in the postoperative period because of their neurological or psychiatric problems or whenever a major highly risky surgery is needed

Palabras clave : TRACHEAL STENOSIS [surgery]; LARINGOSCOPY [methods]; INTUBATION, INTRATRACHEAL [methods].