Sequential treatment with Montgomery tube and Dumon stent in postintubation stenosis. An effective and safe option when surgery is not possible

Tratamiento secuencial con tubo de Montgomery y stent de Dumon en estenosis post-intubación. Una opción efectiva y segura cuando el tratamiento quirúrgico no es una alternativa

Stent is a device that is implanted in the trachea, carina or main bronchus with the objective to provide a support that allows maintain the permeability of these structures. There are two groups in agreement with their constitution: Metallic and Silicone stent. Each group has particular properties and indications that must be always considered in individual patient. Metallic stent constitute a very attractive option, due to relative ease in their placement. This has contributed to increase its use in the last years. The accumulated experience in such therapy, has allowed to identify great amount of complications to take into consideration; mainly, in patients who present benign stenosis. These series of comunications at world wide level, has produced recommendations of governmental agencies of other countries; how is the case of FDA, that recommended do not use metallic stents, covered and not covered in benign tracheobronchial stenosis.

We report a case of 59-year-old patient with post intubation tracheal stenosis who was treated in successful form by the placement of Montgomery tube first and after, a Dumon stent.