Hori K, Orita Y, Yamamoto H, Akisada T, Sato Y, Fujita H
Department of Otorhinolaryngology, Kawasaki Medical School, Okayama.
Nihon Jibiinkoka Gakkai Kaiho. 1993 Jun;96(6):886-90. doi: 10.3950/jibiinkoka.96.886.
Total laryngectomy can be used to prevent aspiration pneumonia in patients with severe dysphagia, though caution is required with regard to the indications. In this paper, we describe 3 patients in whom severe dysphagia developed as a result of cerebrovascular disorders, and who repeatedly developed aspiration pneumonia. We managed them with total laryngectomy, and this has prevented aspiration pneumonia in all three. Oral feeding became possible in two of these patients, and home care became possible for one. This report includes a discussion based on the literature, and includes preoperative evaluation and indications for laryngectomy.
全喉切除术可用于预防严重吞咽困难患者的吸入性肺炎，不过在适应证方面需谨慎。在本文中，我们描述了3例因脑血管疾病导致严重吞咽困难且反复发生吸入性肺炎的患者。我们对他们实施了全喉切除术，且这一手术在所有3例患者中均预防了吸入性肺炎。其中2例患者能够经口进食，1例患者能够接受家庭护理。本报告包括基于文献的讨论，并涵盖了术前评估及喉切除术的适应证。
