Use of silicone stents in the management of airway problems

J. D. Cooper, F. G. Pearson, G. A. Patterson, T. R.J. Todd, R. J. Ginsberg, M. Goldberg, P. Waters

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185 Scopus citations


We report the use of a silicone robber T tube for the management of complex airway problems in 47 patients during the past 15 years. The tube has been used for palliation in 11 patients with malignant obstruction of the airway, and as the sole treatment or as an adjunct to operation in 36 other patients. Based on the satisfactory results with the use of these tubes, we have utilized silicone stents in the bronchus and bifurcation prostheses at the carina. In the past, we have inserted the T tubes through a tracheostomy stoma. More recently, we have used a technique for endoscopic placement of the T tubes in which the horizontal limb is pulled out through the tracheostomy stoma. This technique facilitates introduction of the tube and maintains the airway during insertion. The use of silicone stents provides an important tool in the management of complicated airway problems, and we anticipate their increased use in the future.

Original languageEnglish
Pages (from-to)371-378
Number of pages8
JournalThe Annals of thoracic surgery
Issue number3
StatePublished - Mar 1989


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