Eavey R D
Laryngoscope. 1985 Dec;95(12):1455-60. doi: 10.1288/00005537-198512000-00004.
Severe, incessant aspiration can be a most troublesome sequel to the already tragic problem of a vegetative mental state in a previously normal child. Three patients, aged 2 to 4 years, underwent surgery to treat their aspiration. A different type of procedure was used for each patient: cord closure combined with an epiglottic flap, cord closure alone, and a laryngeal stent. Laryngeal histopathology of a case is presented for the first time; findings suggest that the theoretical reversibility of that particular type of procedure could prove formidable. Clinically, the immediate cessation of aspiration has provided all parents and health care personnel with a surprising sense of gratification and has enabled each child to be transferred to a less-costly care facility or to home.
严重的、持续性的误吸可能是原本正常的儿童陷入植物人精神状态这一悲剧性问题之后最棘手的后遗症。三名年龄在2至4岁的患者接受了治疗误吸的手术。每位患者采用了不同类型的手术：声带闭合联合会厌瓣手术、单纯声带闭合手术和喉支架置入术。首次展示了一例病例的喉部组织病理学情况；研究结果表明，那种特定类型手术在理论上的可逆转性可能颇具难度。临床上，误吸立即停止让所有家长和医护人员都有了一种意外的满足感，还使得每个孩子都能够转至成本较低的护理机构或回家。
