Laryngotracheal Separation Surgery: Outcome in 60 Patients

Zocratto, Orlando Barreto; Savassi-Rocha, Paulo Roberto; Paixão, Rafael M.; Salles, José Maria Porcaro

doi:10.1016/j.otohns.2006.05.018

Cited by 34 publications

(34 citation statements)

References 15 publications

(43 reference statements)

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“…It could be considered in those cases where the recovery of laryngeal function is unlikely. Currently its use as an alternative surgical treatment of aspiration is eventual, as it was being replaced by other procedures equally effective but with less morbidity and potentially reversible, such as the LTS [8,9]. TL has classically been indicated in some patients with pharyngolaryngeal tumors not for providing an adequate safety margin for the control of the primary tumor, but as a means of preventing potential postoperative aspiration.…”

Section: Discussionmentioning

confidence: 99%

“…We used the transversal and complete tracheal section between the second and third tracheal rings. Side-to-side suture of the proximal tracheal stump represents a variation of the original technique, which was used in all patients of the present series, as described by Zocratto et al [8]. The subglottic pouch results from the suture of the proximal tracheal stump.…”

Section: Methodsmentioning

confidence: 98%

“…Its main advantages are: technical simplicity, reliability, preservation of swallowing capacity, surgery of short duration [2], possibility of restoration of speech [6,8,9] and possibility to be done with local anesthesia [8], which means an important advantage for patients with impaired lung function [4,9,10]. Other advantage refers to the possibility of being performed in tracheostomized patients.…”

Section: Introductionmentioning

confidence: 99%

“…Other advantage refers to the possibility of being performed in tracheostomized patients. Expressive rates of success in either treatment of severe aspiration (clinically untreatable) or its prevention have been reported [3,4,6,[8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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Tracheocutaneous fistula as a complication of laryngotracheal separation surgery

Zocratto

Mao

et al. 2011

Eur Arch Otorhinolaryngol

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To evaluate the relationship between the occurrence of tracheocutaneous fistula of the proximal tracheal stump regarding the indication (therapeutic or prophylactic) of laryngotracheal separation surgery (LTS) and regarding the presence of a current or previous tracheostomy when LTS was performed. Retrospective analysis of 66 patients submitted to LTS. The tracheocutaneous fistula occurred in 14 (21.2%) patients. Twelve (33.3%) of 36 patients whose indication was therapeutic and in two (6.7%) of 30 patients whose indication was prophylactic (p = 0.019). It occurred in 8 (57.1%) of 14 patients who had undergone tracheostomy prior to completion of LTS, while occurred in 6 (11.5%) patients who had not previously undergone tracheostomy (n = 52) (p = 0.0009). The incidence of tracheocutaneous fistula as a postoperative complication of laryngotracheal separation is high and occurs mainly in patients whose indication is therapeutic and for those with a current or previous tracheostomy. Despite the significant incidence, most of them closed spontaneously through the adoption of conservative therapy.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Tracheocutaneous fistula as a complication of laryngotracheal separation surgery

Zocratto

Mao

et al. 2011

Eur Arch Otorhinolaryngol

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“…Cerebrovascular accident (CVA) is the leading neurological cause of pharyngeal dysphagia and intractable aspiration [3][4][5] . Laryngotracheal separation is an effective way to manage intractable aspiration [6,7] . In addition, typical laryngeal closure can also successfully treat aspiration [8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Laryngotracheal Closure and Cricopharyngeal Myotomy for Intractable Aspiration and Dysphagia Secondary to Cerebrovascular Accident

Li²,

Liang³

et al. 2009

ORL

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Objective: To investigate the clinical value, technique, indications and contraindications of laryngotracheal closure (LTC) and cricopharyngeal myotomy (CPM) for intractable aspiration and dysphagia secondary to a cerebrovascular accident (CVA). Materials and Methods: Patients (n = 45) with intractable aspiration and dysphagia secondary to a CVA were treated with LTC and CPM. The LTC was performed by suturing the double cords, and packing the strap muscle flap into the subglottic tracheal cavity. Results: Intractable aspiration was completely eradicated in all patients. The swallowing function was partially improved, and the patients’ quality of life was greatly improved. It became easier to care for these patients after surgery. Conclusions: LTC and CPM are suitable for intractable aspiration and dysphagia secondary to a CVA.

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Tracheoesophageal diversion and puncture operation for intractable aspiration: A case series

et al. 2018

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Laryngotracheal Separation Surgery: Outcome in 60 Patients

Abstract: LTS is effective in the elimination and prevention of clinically intractable aspiration. The procedure is potentially reversible. However, the frequency of complications for both LTS and reversion surgery is significant.

Cited by 34 publications

References 15 publications

Tracheocutaneous fistula as a complication of laryngotracheal separation surgery

Tracheocutaneous fistula as a complication of laryngotracheal separation surgery

Laryngotracheal Closure and Cricopharyngeal Myotomy for Intractable Aspiration and Dysphagia Secondary to Cerebrovascular Accident

Tracheoesophageal diversion and puncture operation for intractable aspiration: A case series

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