Taguchi Eiichi, Kobayashi Yasushi, Tsuzuki Hidenori
Department of Neurology, Aoizaitaku Clinic.
Department of Neurology, Okazaki City Hospital.
Rinsho Shinkeigaku. 2022 Aug 27;62(8):621-626. doi: 10.5692/clinicalneurol.cn-001731. Epub 2022 Jul 22.
Three patients with multiple system atrophy (MSA) who have been hospitalized for aspiration pneumonia underwent aspiration prevention surgery. Laryngeal closure was performed in 2 cases, and laryngotracheal separation was performed in 1 case. Two patients were able to continue oral intake. No recurrence of aspiration pneumonia was observed in all cases after the operation for about two years, and the reduction in the number of aspirations at night improved the patient's QOL and reduced the burden on the caregiver. It was considered that the appropriate time for surgery was when communication in vocal language became difficult. It was a time when the loss of vocal function was well accepted in 3 cases. Aspiration prevention surgery may be a useful treatment option because it may contribute to prolonging the prognosis of life by reducing the complications of respiratory infections.
三名因吸入性肺炎住院的多系统萎缩（MSA）患者接受了预防吸入手术。2例行喉关闭术，1例行喉气管分离术。两名患者能够继续经口进食。术后约两年所有病例均未观察到吸入性肺炎复发，夜间吸入次数减少改善了患者的生活质量并减轻了护理人员的负担。认为手术的合适时机是言语交流变得困难时。这是3例患者对发声功能丧失已能较好接受的时期。预防吸入手术可能是一种有用的治疗选择，因为它可能通过减少呼吸道感染并发症有助于延长生命预后。
