The Silicone T-tube for the Management of Glottic Stenosis Due to Bilateral Vocal Cord Paralysis

Abstract

Tracheal silicone T-tube was used as a stent in the management of 5 patients with glottic stenosis due to bilateral vocal cord paralysis occurred after the resection of the trachea infiltrated by thyroid carcinoma. The upper limb of the T-tube is brought through the vocal cords with preservation of a functional voice and without injury to the vocal cords. The T-tube provides respiration through the nasopharynx, so that humidification and phonation are maintained. It is generally trouble free and remains in place for five or six months. After the extubation of T-tube, the patients are possible to breathe and phonate almost normally without dyspnea.