Laryngectomy for chronic aspiration

Cannon, C. Ron; McLean, W. Copley

doi:10.1016/s0196-0709(82)80046-x

Cited by 67 publications

(35 citation statements)

References 8 publications

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“…Total laryngectomy was felt by Cannon and Mclean [15] to be the procedure of choice in patients with poor prognoses, associated medical problems or evidence of impaired wound healing. The disadvantages of a total laryngectomy include a more extensive operation, high rate of pharyngo-cutanous fistula formation, irreversibility, loss of phonation, permanent tracheostoma and cosmetic deformity.…”

Section: Introductionmentioning

confidence: 99%

Intractable pulmonary aspiration in children: Which operation?

Hafidh

Young

Russell

2006

International Journal of Pediatric Otorhinolaryngology

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Section: Introductionmentioning

confidence: 99%

Intractable pulmonary aspiration in children: Which operation?

Hafidh

Young

Russell

2006

International Journal of Pediatric Otorhinolaryngology

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“…39 We have employed an addiProbably the most challenging problem is deciding when the stent is to be removed. Some improvement in the causative factors resulting in aspiration must be perceived to have occurred, such as recovery of pharyngeal function after a neurologic insult.…”

Section: Resultsmentioning

confidence: 99%

Treatment of Intractable Aspiration Using a Laryngeal Stent or Obturator

Weisberger

1991

Ann Otol Rhinol Laryngol

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Twenty-five patients were treated with a laryngeal stent for potentially reversible chronic aspiration of life-threatening magnitude. The causes of the intractable aspiration were diverse and included chronic neurologic disease, extensive head and neck surgery, and severe gastroesophageal reflux. The advantages of this technique are noted in comparison to those of more invasive procedures. Disadvantages of the laryngeal stent and complications encountered are also covered. The long-term results show that all but one patient had a significant improvement in their chronic aspiration with the stent in place. However, only eight patients achieved adequate oral deglutition without aspiration following stent removal.

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“…Because of these disadvantages, surgical procedures other than laryngectomy have been developed for the treatment of intractable aspiration. Some surgeons believe that laryngectomy continues to remain the surgical treatment of choice for intractable aspiration because of the poor prognosis for recovery of laryngeal protective function in these patients [28,291.…”

Section: Laryngectomymentioning

confidence: 99%

Surgical approaches to aspiration

Eisele

1991

Dysphagia

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Impaired laryngeal protective function can result in intractable aspiration. Surgery to separate the upper digestive tract from the respiratory tract is often necessary in cases of intractable aspiration to prevent recurrent bronchopulmonary contamination and resultant complications, including death. The common surgical techniques for the prevention of intractable aspiration are presented. The results of each procedure for aspiration prevention and reversibility are compared. The advantages and disadvantages of each surgical technique are discussed.

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Laryngectomy for chronic aspiration

Cited by 67 publications

References 8 publications

Intractable pulmonary aspiration in children: Which operation?

Intractable pulmonary aspiration in children: Which operation?

Treatment of Intractable Aspiration Using a Laryngeal Stent or Obturator

Surgical approaches to aspiration

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