“…While this may offer an immediate relief, it does commit the patient to many long-term disadvantages such as indefinite trach care, local discomfort, aesthetic concerns, and a nidus for additional long-term tracheostomy complications. Moreover, in our experience, these patients tend to be labelled as too “high-risk” for subsequent decannulation trials, and as a consequence, are never decannulated again [6] , [11] , [12] , [13] . With our approach, the Montgomery cannula was able to act as a bridge for the patient during the management of his tracheal stenosis.…”