Author/Authors :
Wu, Fengjie Department of Pulmonary and Critical Care Medicine - The Second Affiliated Hospital of Jiaxing University - Jiaxing - Zhejiang, China , Yao, Yangwei Department of Pulmonary and Critical Care Medicine - The Second Affiliated Hospital of Jiaxing University - Jiaxing - Zhejiang, China , Gu, Yangyang Department of Pulmonary and Critical Care Medicine - The Second Affiliated Hospital of Jiaxing University - Jiaxing - Zhejiang, China , Yang, Meng Department of Pulmonary and Critical Care Medicine - The Second Affiliated Hospital of Jiaxing University - Jiaxing - Zhejiang, China , Chen, Enguo Department of Pulmonary and Critical Care Medicine - Sir Run Run Shaw Hospital - College of Medicine - Zhejiang University - Hangzhou - Zhejiang, China , Hu, Huihui Department of Pulmonary and Critical Care Medicine - Sir Run Run Shaw Hospital - College of Medicine - Zhejiang University - Hangzhou - Zhejiang, China , Zhang, Jisong Department of Pulmonary and Critical Care Medicine - Sir Run Run Shaw Hospital - College of Medicine - Zhejiang University - Hangzhou - Zhejiang, China , Dong, Liangliang Department of Pulmonary and Critical Care Medicine - Sir Run Run Shaw Hospital - College of Medicine - Zhejiang University - Hangzhou - Zhejiang, China , Zhu, Yeli Department of the Operating Room - The Second Affiliated Hospital of Jiaxing University - Jiaxing - Zhejiang, China
Abstract :
The purpose of this study is to explore the effectiveness and safety of Montgomery T-tube placement in treating CottonMyer IV subglottic airway atresia after bi-level airway recanalization. Methods. This study is a retrospective study. 11 patients who
were treated for IV subglottic airway atresia between January 2017 and January 2019 in the Second Affiliated Hospital of Jiaxing
University were involved in this study. The 11 patients all had undergone tracheotomies at our hospital, and they were
transferred to the Department of Pulmonary and Critical Care Medicine for Montgomery T-tube placement after bi-level airway
recanalization when their subglottic airway was atretic. Patients were observed for their clinical manifestations after placement.
The effectiveness of T-tube placement after bi-level airway recanalization was assessed. The incidence of short-term and longterm complications after surgery was assessed. Patients were followed up for 3 to 24 months for evaluating their airway
recovery. Results. T-tubes were successfully placed in 11 patients. The atretic airways of all patients were recanalized after
treatment. Eight patients got restoration of vocal ability, and 3 patients could only say simple words. None of the patients
needed assisted oxygen inhalation. The SpO2 average level was increased from 95 ± 2% before treatment to 97 ± 3% after
treatment. Patients had significant relief of cough or sputum, and they had less difficulty in dyspnea. All short- or long-term
complications were self-relieved or controlled without further malignant progression after treatment by doctors. The average
postoperative extubating time was (14:86 ± 3:62) months. Conclusion. The application of Montgomery T-tube placement in
treating Cotton-Myer IV subglottic airway atresia after bi-level airway recanalization is well effective and safe for patients, and it
can be promoted in clinical treatment.
Keywords :
T-Tube , Bi-Level , IV , Placement
