We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Closure of the larynx for intractable aspiration in neurologically impaired patients.
- Authors
Tatekawa, Yukihiro; Hosino, Noriko; Hori, Tetsuo; Kaneko, Michio
- Abstract
We present three patients with intractable aspiration pneumonia in the setting of permanent neurologic impairment, who had received a tracheostomy and showed a juxtaposition of the innominate artery against the trachea. Neurologically impaired patients often show a juxtaposition or compression of the innominate artery against the trachea by chest deformity in the setting of severe scoliosis, which could result in a trachea-innominate artery fistula. For intractable aspiration, laryngotracheal separation is safely performed and effective in controlling aspiration, but is occasionally complicated by trachea-innominate artery fistula. As an alternative procedure, we performed a closure of the larynx in these three cases, using double flaps of the vocal folds and false vocal folds, as a treatment for intractable aspiration. After operation, the patients did well without complication or clinical evidence of recurrent aspiration.
- Subjects
LARYNGEAL surgery; INTRACTABLE pain; ASPIRATORS; NEUROLOGICAL disorders; BRACHIOCEPHALIC trunk; CHEST abnormalities; SURGICAL complications
- Publication
Pediatric Surgery International, 2010, Vol 26, Issue 5, p553
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-010-2567-8