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ENT · Larynx and airway: Montgomery T-tube
Sample itemA patient with a stable but narrowed subglottic airway after reconstruction needs a stent that also acts as a tracheostomy and allows phonation when the limb is capped. Which device is used?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Montgomery T-tube
The Montgomery T-tube is a silicone T-shaped stent placed in the trachea with the side limb exiting through the stoma. It stents the airway while giving access for suction, and phonation is possible when the external limb is closed. It is used in stenosis and after airway reconstruction.
Option by option
A. Chevalier Jackson tube
The Jackson tube is a metal tracheostomy tube.
B. Laryngeal mask airway
A laryngeal mask is a supraglottic airway.
C. Endotracheal tube
An endotracheal tube passes through the mouth or nose.
D. Montgomery T-tube (correct)
Correct. It is a T-shaped airway stent.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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