Abstract
266-4356/$ – see front matter © 2009 The British Association of Oral and Maxillofacia doi:10.1016/j.bjoms.2009.06.014 We use a Montandon laryngectomy tube (PortexTM, miths Medical International, UK) rather than the convenional tracheotomy tube immediately after tracheotomy at the eginning of head and neck oncological ablative and recontructive procedures. It is secured to the chest wall with stay utures once its position in the trachea is confirmed (Fig. 1). he technique of tracheostomy does not need any modificaion. This has advantages because the prominence of the traheostomy tube (Tracoe twist, Tracoe Medical, Germany) is
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