Montgomery T-tube to Bypass Tracheal Dehiscence: UiTM Experience

Montgomery T-tube to Bypass Tracheal Dehiscence
Vol. 20 No. 2 : 2025 (829-833)

Muhammad Raziin Zainal Abidin
Muhammad Raziin Zainal Abidin
Ilmi Akmaludin Mohamad
Ilmi Akmaludin Mohamad
Syarifah Nafisah Syed Hamzah
Syarifah Nafisah Syed Hamzah
Norazila Abdul Rahim
Norazila Abdul Rahim
Masaany Mansor
Masaany Mansor
Abstract
Montgomery T-tube was introduced by Dr William W. Montgomery in 1964. Conventionally it is used to treat laryngotracheal stenosis. We discussed a case of a 75-year-old lady who required Montgomery T-tube as a bypass stent due to tracheal dehiscence secondary to surgical site infection following radical surgery for advanced follicular thyroid carcinoma (SHIN stage IV). Second look surgery was done after 3 months and revealead a well-healed anastomotic site. We shared our experience in managing tracheal dehiscence following tracheal resection and primary anastomosis by utilising Montgomety T-tube as a temporary bypass stent in advanced thyroid carcinoma.

Keywords : Laryngotracheal stenosis; Montgomery T-tube; tracheal dehiscence,

Correspondance Address
Norazila Abdul Rahim. Department of Otorhinolaryngology-Head & Neck Surgery, Faculty of Medicine, Universiti Teknologi MARA, 47000 Sungai Buloh, Selangor, Malaysia. Tel: +603-33963204 Email: norazila3587@uitm.edu.my


Tracheal dehiscence (white arrow) and surrounding slough just above the tracheostomy tube.