Inserción del tubo de derivación salival de montgomery con anestesia local en pacientes con fístula faringocutánea tras laringectomía totalInsertion of montgomery salivary bypass tube under local anesthesia in patients with pharyngocutaneous fistula following total laryngectomy

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Resumen

El tubo de derivación salival de Montgomery ha demostrado ser eficaz en el tratamiento de las fístulas faringocutáneas tras laringectomía total. La técnica original de inserción del mismo requiere la realización de una anestesia general para colocarlo mediante visualización directa de la hipofaringe. En este trabajo se presenta un método de inserción basado en la técnica de Seldinger que permite su colocación con anestesia local de forma rápida y bien tolerada por los pacientes

Abstract

Montgomery salivary bypass tube is an effective therapeutic option in the treatment of the pharyngocutaneous fistulas following laryngectomy. The original insertion technique requires general anesthesia to introduce the tube with direct vision of the hypopharynx. In this paper we present an insertion method based in the Seldinger technique that allows the placement of the tube under local anesthesia in a rapid fashion and well tolerated by the patients

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    Palliation can be attempted by placing a MSBT. These endoprostheses have been used as temporary treatment in patients with pharyngocutaneous fistula following total laryngectomy.15 However, the proximal funnel is too wide and could cause a foreign body sensation.

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