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抽吸的手术方法。

Surgical approaches to aspiration.

作者信息

Eisele D W

机构信息

Department of Otolaryngology--Head and Neck Surgery, Johns Hopkins Medical Institutions, Baltimore, MD.

出版信息

Dysphagia. 1991;6(2):71-8. doi: 10.1007/BF02493482.

DOI:10.1007/BF02493482
PMID:1935261
Abstract

Impaired laryngeal protective function can result in intractable aspiration. Surgery to separate the upper digestive tract from the respiratory tract is often necessary in cases of intractable aspiration to prevent recurrent bronchopulmonary contamination and resultant complications, including death. The common surgical techniques for the prevention of intractable aspiration are presented. The results of each procedure for aspiration prevention and reversibility are compared. The advantages and disadvantages of each surgical technique are discussed.

摘要

喉部保护功能受损可导致难治性误吸。对于难治性误吸病例,通常需要进行手术将上消化道与呼吸道分隔开,以防止反复发生支气管肺污染及由此产生的并发症,包括死亡。本文介绍了预防难治性误吸的常见手术技术。比较了每种预防误吸及可逆性手术的结果。讨论了每种手术技术的优缺点。

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本文引用的文献

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GLOTTIC REHABILITATION WITH TEFLON INJECTION--THE RETURN OF VOICE, COUGH AND LAUGHTER.聚四氟乙烯注射治疗声门康复——恢复声音、咳嗽及笑声。
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Surgical closure of the larynx for intractable aspiration.通过手术封闭喉部以治疗顽固性误吸。
喉关闭术的麻醉管理:50例回顾性评估
JA Clin Rep. 2017;3(1):67. doi: 10.1186/s40981-017-0140-3. Epub 2017 Dec 22.
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Secondary Voice Restoration After Laryngotracheal Separation (LTS) for Dysphagia with Intractable Aspiration.喉气管分离术(LTS)后针对伴有顽固性误吸的吞咽困难的二次嗓音恢复
Dysphagia. 2015 Dec;30(6):695-701. doi: 10.1007/s00455-015-9646-x. Epub 2015 Aug 12.
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The usefulness of laryngotracheal separation in the treatment of severe motor and intellectual disabilities.喉气管分离术在治疗严重运动和智力残疾中的效用。
Pediatr Surg Int. 2010 Oct;26(10):1041-4. doi: 10.1007/s00383-010-2649-7.
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Surgery for aspiration: analysis of laryngotracheal separation in 23 children.误吸的手术治疗:23例儿童喉气管离断术分析
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Laryngectomy for chronic aspiration.慢性误吸的喉切除术
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Treatment of chronic aspiration as a complication of cerebrovascular accident.
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Total glossectomy. A technique of reconstruction eliminating laryngectomy.全舌切除术。一种无需行喉切除术的重建技术。
Arch Otolaryngol. 1983 Feb;109(2):69-73. doi: 10.1001/archotol.1983.00800160003001.
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Endoscopic treatment of aspiration using a laryngeal stent.
Otolaryngol Head Neck Surg. 1982 Mar-Apr;90(2):215-22. doi: 10.1177/019459988209000214.
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Surgery for aspiration.
Otolaryngol Clin North Am. 1984 Feb;17(1):49-56.
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Rehabilitative surgery for aspiration. A clinical analysis.
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