RT Journal Article SR Electronic T1 Insertion of a Dumon Y-stent via a permanent tracheostoma without using a rigid bronchoscope JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e226500 DO 10.1136/bcr-2018-226500 VO 11 IS 1 A1 Hayashi, Kazuki A1 Motoishi, Makoto A1 Sawai, Satoru A1 Hanaoka, Jun YR 2018 UL http://casereports.bmj.com/content/11/1/e226500.abstract AB A 63-year-old man who had received a permanent tracheostoma after oesophageal cancer surgery developed fistulas in the left and right main bronchi and suffered repeated aspiration pneumonia. Placing an indwelling Dumon Y-stent using a rigid bronchoscope is an option to treat fistula and stenosis at the tracheal bifurcation, but in some cases, it may be difficult to use a rigid bronchoscope in patients with a permanent tracheostoma. In this study, we report placing a Dumon Y-stent in a patient with a permanent tracheostoma using a specially modified stent and forceps instead of a rigid bronchoscope.