MONTGOMERY SALIVARY BYPASS TUBE - Size: 16 Type: Radiopaque
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Description
The Montgomery Salivary Bypass Tube, crafted by Boston Medical Products, Inc., is a specialized medical device designed to address complex clinical needs in the management of cervical esophageal and hypopharyngeal conditions. This implantable stent is made from high-quality silicone and is supplied sterile, ensuring safety and efficacy in its application.
Clinical Applications
Primarily used to manage fistulae and strictures, the tube is particularly beneficial following head and neck surgeries, radiation treatments, trauma, malignancy, or caustic ingestion. By directing saliva into the distal esophagus, it minimizes leakage at wound sites, thereby promoting healing and reducing complications. This function aids in the spontaneous closure of fistulae and prepares tissues for potential surgical repair.
Design Features
- Funnel-Shaped Proximal End: The design includes a funnel-shaped proximal end that fits securely in the hypopharynx, preventing reflux and ensuring effective stenting.
- Material Variants: Available in clear and radiopaque versions, the tube is constructed from implant-grade silicone, with the radiopaque version incorporating barium sulphate and titanium dioxide.
- MRI Compatibility: Both versions are MRI safe, enhancing their versatility in clinical settings.
Size Options
The device comes in various sizes, with dimensions tailored to meet specific patient needs:
- Size 8: 33:191:8 mm
- Size 10: 35:191:10 mm
- Size 12: 37:191:12 mm
- Size 14: 39:191:14 mm
- Size 16: 41:191:16 mm
- Size 18: 43:191:18 mm
- Size 20: 45:191:20 mm
Intended Use
The tube facilitates oral feeding and wound healing by effectively directing saliva away from fistula sites. It can be used for both short-term and long-term management, with some patients benefiting from its use over several years. Placement and removal are generally straightforward, often performed under general anesthesia.
Precautions
- Avoid Heat Exposure: The tube should not be exposed to heat-based medical procedures.
- Regular Monitoring: Continuous follow-up is essential to monitor placement and address any complications such as dislocation or pressure necrosis.
Potential Complications
While generally safe, potential risks include foreign body sensation, tube migration, and rare instances of serious complications like fistula formation with major blood vessels. Regular clinical oversight helps mitigate these risks, ensuring optimal outcomes for patients.
The Montgomery Salivary Bypass Tube represents a critical tool in the management of complex esophageal and hypopharyngeal conditions, offering tailored solutions to enhance patient care and recovery.