{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:18:12Z","timestamp":1792196292828,"version":"4.4.0"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T00:00:00Z","timestamp":1571788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Respiratory J"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Tracheostomy is a common procedure for management of tracheomalacia. However, the limitation to speak related to tracheostomy cannula could affect the quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>we reported a new minimally invasive procedure to replace tracheostomy cannula with Montgomery T\u2010tube to improve the ability of speaking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a single center study including all consecutive patients undergoing the replacement of standard tracheostomy cannula with T\u2010tube for management of tracheomalacia. The end\u2010points were to evaluate (a) the changes in Voice\u2010related quality of Life (V\u2010RQOL) before and after T\u2010tube placement; and (b) the complications related to T\u2010tube.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eleven patients were included in the study. T\u2010tube was placed using flexible bronchoscopy and laryngeal mask airway. A suture was inserted through the proximal end of T\u2010tube. Once the stent was introduced with a clamp into the trachea, a traction was applied on the suture to facilitate the alignment of the upper end of the stent. The comparison of V\u2010RQOL values before and after T\u2010tube insertion showed a significant improvement in social\/emotional (39.2\u00a0\u00b1\u00a06.1 vs 66.8\u00a0\u00b1\u00a01.9; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.0001); physical functioning (21\u00a0\u00b1\u00a05.7 vs 56.4\u00a0\u00b1\u00a05.3; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.0001) and total V\u2010RQOL scores (33.9\u00a0+\u00a05.4 vs 61.3\u00a0+\u00a06.1; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.0001). No complications were seen during the insertion of the stent. In two patients, T\u2010tube was obstructed by mucus that resolved with aspiration using flexible bronchoscopy (mean follow\u2010up: 18\u00a0\u00b1\u00a010\u00a0months).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our technique is simple and safe, not needing specific skills and\/or cumbersome devices. The replacement of tracheostomy cannula with T\u2010tube seems to improve the quality of voice without adding major complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/crj.13098","type":"journal-article","created":{"date-parts":[[2019,10,17]],"date-time":"2019-10-17T15:50:50Z","timestamp":1571327450000},"page":"40-46","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Montgomery T\u2010tube for management of tracheomalacia: Impact on voice\u2010related quality of life"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0628-613X","authenticated-orcid":false,"given":"Alfonso","family":"Fiorelli","sequence":"first","affiliation":[{"name":"Thoracic Surgery Unit Universit\u00e0 della Campania Luigi Vanvitelli Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Natale","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Unit 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