• Ping-Yang Hong, Mao-Hong Huang, Feng-Fu Zhan, Yi-Li Lin, Shao-Zhao Qiu, and Xiao-Bin Zhang.
• Department of Pulmonary and Critical Care Medicine, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University; The Third Clinical College of Fujian Medical University; Key Clinical Specialty of Fujian Province, Fujian, China.
• Medicine (Baltimore). 2023 Jan 13; 102 (2): e32680e32680.

RationaleSubglottic tracheal stenosis is stenosis of the trachea between the vocal cords and the lower margin of the cricoid cartilage. The Montgomery T-tube is used as a tracheostomy tube and a combined tracheal stent to avoid postoperative tracheal stenosis.Patient ConcernsBecause the stenosis is close to the glottis, surgical treatment is complex, and many complications may arise.DiagnosesSubglottic tracheal stenosis.InterventionsThe patients underwent endotracheal intubation or tracheotomy because of acute pancreatitis, laryngeal malignancy, or cerebral hemorrhage after endotracheal intubation or tracheotomy and presented with varying degrees of tracheal stenosis and dyspnea. We relieved airway stenosis and improved dyspnea in these 3 patients by placing a Montgomery T-tube.OutcomesNone of the 3 patients had intraoperative complications. In 2 of the cases, airway secretions were stored after surgery.LessonsMontgomery T-tube placement is safe and effective for patients with complex subglottic tracheal stenosis.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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