Laryngeal closure at the level of the false cord for the treatment of aspiration

Abstract

A new procedure for aspiration which closes the larynx at the level of the false cords is reported. This method is not harmful to the vocal folds and maintains arytenoid movement, thus preserving phonatory function. With the advance of the operative technique for aspiration and swallowing rehabilitation, patients who have recovered from aspiration can be helped. Our procedure can be recommended for such cases.

Reversal of laryngotracheal separation in paediatric patients

“…The resultant surgical separation of the upper airway from the digestive tract allows swallowing rehabilitation without the danger of aspiration [5]. The significance of allowing swallowing rehabilitation to take place should not be underestimated.…”

“…For reversal of the procedure, a cricotracheal resection with end-to-end anastamosis was performed, similar to that used in treatment of subglottic stenosis [5].…”

Improving the Quality of Life of Patients With Severe Dysphagia by Surgically Closing the Larynx

“…However, several minimally invasive surgical approaches that prevent aspiration with fewer complications have been introduced to alleviate severe deterioration of the general condition of patients with dysphagia. [4][5][6][7] The Kano method, surgical closure of the larynx with cricoid cartilage removal, which was developed by Kano et al, 7 has been rapidly adopted as a minimally invasive method that secures tracheal cannula-free status. There are few studies of patient QOL or caregiver burden associated with severe dysphagia in patients who undergo surgical intervention using the Kano method.…”

Candidate's Thesis: Laryngotracheal separation in neurologically impaired children: Long‐term results

“…The latter two goals are primarily based on the fact that many of these techniques were developed for adults who are impaired after a major head and neck resection or cerebrovascular accident. As such, a goal of rehabilitation is to regain the ability to speak and eat while protecting the distal airway from aspiration 15. In the child with severe neurologic injuries, often there is no realistic hope for the recovery of neurologic function.…”