Description

The Montgomery Salivary Bypass Tube is an innovative medical device crafted by Boston Medical Products, Inc. It serves as a vital tool in the management and healing of fistulae and strictures in the cervical esophagus and hypopharynx, particularly following head and neck surgeries. This device is designed to enhance patient outcomes by directing saliva into the distal esophagus, thereby reducing leakage over fistula sites and promoting healing.

Key Features

• Design: The tube features a funnel-shaped proximal end that fits securely in the hypopharynx, minimizing reflux. It is available in both clear and radiopaque versions, each made from implant-grade silicone.
• Functionality: It accommodates a feeding tube through its lumen and is supplied sterile, with one tube per carton.
• Sizes: Offered in various sizes, the dimensions range from Size 8 to Size 20, catering to diverse clinical needs.

Clinical Benefits

• Versatility: Suitable for use after surgeries related to trauma, malignancy, radiation injury, or caustic ingestion.
• Facilitation: Aids in oral feeding and wound healing, providing both short-term and long-term management options.
• MRI Compatibility: The device is MRI safe, ensuring compatibility with essential diagnostic procedures.

Application and Management

The expected application duration is up to six months, with potential for long-term use in select cases. Clinical benefits include reduced morbidity, improved quality of life, and a shorter inpatient stay. The tube is inserted and removed safely under general anaesthesia, offering a conservative management option for challenging cases.

Precautions

• Monitoring: Regular physician monitoring is essential to ensure proper placement and address potential complications such as tube migration or localized pressure necrosis.
• Contraindications: Avoid exposure to heat-based procedures and ensure damaged products are not used.

Potential Complications

Patients may experience impaired arytenoid motility, foreign body sensation, or rare complications such as fistula formation. Regular follow-up is recommended to manage these risks effectively.

Packaging

Each tube is packaged sterile, ensuring readiness for immediate clinical use. The Montgomery Salivary Bypass Tube stands as a testament to advanced medical engineering, offering substantial benefits in the management of complex esophageal conditions.