Snyderman C H, Johnson J T
Department of Otolaryngology, University of Pittsburgh School of Medicine, PA.
Ann Otol Rhinol Laryngol. 1988 Sep-Oct;97(5 Pt 1):466-70. doi: 10.1177/000348948809700506.
Intractable aspiration may be a life-threatening problem for patients with altered laryngeal function secondary to neurologic disorders or abnormal laryngeal anatomy. Multiple surgical procedures have been devised to deal with this problem. An effective technique involves the creation of a tracheostoma and closure of the larynx at the first or second tracheal ring. Laryngotracheal separation is relatively easy to perform and potentially reversible. Experience with this technique in six patients who required laryngeal separation for intractable aspiration is described. The procedure was successful in preventing aspiration and recurrent pneumonia associated with neurologic dysfunction, unresectable neoplasm, and conservation laryngeal surgery. One patient of one has had a successful reconstruction.
对于因神经疾病或喉部解剖结构异常导致喉部功能改变的患者，顽固性误吸可能是一个危及生命的问题。已经设计了多种外科手术来处理这个问题。一种有效的技术是在第一或第二气管环处造气管造口并封闭喉部。喉气管分离相对容易实施且可能可逆。本文描述了对六名因顽固性误吸需要进行喉分离的患者应用该技术的经验。该手术成功地预防了与神经功能障碍、不可切除肿瘤和保留喉部手术相关的误吸和复发性肺炎。其中一名患者已成功重建。
