Laurian N, Shvili Y, Zohar Y
Laryngoscope. 1986 Jan;96(1):78-81. doi: 10.1288/00005537-198601000-00014.
The loss of the protective function of the larynx is a severe complication of major ablative procedures in the upper aerodigestive tract and of certain severe neurological disorders. This may result in chronic life-threatening aspiration. Anterior pharyngotomy was used to perform epiglotto-aryepiglottopexy in four patients. The aim of this procedure is to close the laryngeal inlet and thus prevent aspiration without permanent loss of speech. In two of the patients, it was necessary to reoperate because of partial detachment of the epiglottis. This was performed successfully using the endoscopic approach. As a result, three patients have no aspiration and one has mild aspiration following epiglotto-aryepiglottopexy.
喉保护功能丧失是上消化道气道主要切除手术及某些严重神经疾病的严重并发症。这可能导致危及生命的慢性误吸。对4例患者采用前咽切开术进行会厌-杓会厌固定术。该手术的目的是封闭喉入口，从而防止误吸，且不会导致永久性失语。其中2例患者因会厌部分脱离而需要再次手术。采用内镜方法成功完成了再次手术。结果，3例患者在会厌-杓会厌固定术后无误吸，1例有轻度误吸。
