气管食管转流术和喉气管分离术的适应症。
Indications for the tracheoesophageal diversion procedure and the laryngotracheal separation procedure.
作者信息
Eisele D W, Yarington C T, Lindeman R C
机构信息
Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle.
出版信息
Ann Otol Rhinol Laryngol. 1988 Sep-Oct;97(5 Pt 1):471-5. doi: 10.1177/000348948809700507.
Impaired protective function of the larynx can lead to intractable aspiration, a severe and potentially fatal disorder. If medical therapy fails to prevent intractable aspiration, surgical separation of the upper respiratory tract from the digestive tract is necessary to prevent recurrent contamination of the respiratory system in these patients. Two such surgical procedures are the tracheoesophageal diversion procedure and the laryngotracheal separation procedure. Our approach to patients with intractable aspiration and the indications for the use of these surgical procedures for the prevention of aspiration are discussed.
喉部保护功能受损可导致难治性误吸，这是一种严重且可能致命的疾病。如果药物治疗无法预防难治性误吸，则有必要进行上呼吸道与消化道的手术分离，以防止这些患者的呼吸系统反复受到污染。两种这样的外科手术是气管食管转流术和喉气管分离术。我们将讨论针对难治性误吸患者的治疗方法以及使用这些外科手术预防误吸的指征。
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