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Vol. 55. Issue 5.
Pages 244-246 (May 2004)
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Vol. 55. Issue 5.
Pages 244-246 (May 2004)
Inserción del tubo de derivación salival de montgomery con anestesia local en pacientes con fístula faringocutánea tras laringectomía total
Insertion of montgomery salivary bypass tube under local anesthesia in patients with pharyngocutaneous fistula following total laryngectomy
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J.P. Rodrigo Tapiaa
Corresponding author
jrodrigo@hcas.sespa.es

Juan Pablo Rodrigo Tapia. C/ Fernández Ladreda 32ª 4ºB. 33011 Oviedo
, J.L. Llorente Pendás, C. Suárez Nieto
Servicio de otorrinolaringología. hospital universitario central de asturias. universidad de oviedo. oviedo. asturias
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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

Palabras clave:
Bypass salival
Fístula
Laringectomía
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

Key words:
Salivary bypass
Fistula
Laryngectomy

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