Surgical Procedure for Intractable Aspiration.

Kitahara, Satoshi; Tanabe, Tetsuya; Nakanoboh, Manabu; Karaho, Takehiro; Matsumura, Yuko; Kitagawa, Yohko; Ohmae, Yukio

doi:10.2468/jbes.50.603

Cited by 1 publication

(2 citation statements)

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“…TED has been reported to be superior to LTS [1][2][3]. However, TED requires a tracheoesophageal anastomosis to prevent halitosis and stimulation of the cough reflex due to pooled secretions in the blind pouch of the proximal tracheal segment.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore it is preferable to perform a simple and definitive procedure. An important advantage of LTS is the short time of operation, because a tracheoesophageal anastomosis is not required [3,5]. Also, it may be possible to perform LTS under local anesthesia, a significant advantage for pa- Yamana/Kitano/Hanamitsu/Kitajima tients with impaired respiratory function.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Outcome of Laryngotracheal Separation for Intractable Aspiration Pneumonia

Yamana

Kitano

Hanamitsu

et al. 2001

ORL

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Objectives: To confirm that laryngotracheal separation (LTS) is a satisfactory treatment for patients with intractable aspiration pneumonia, even though it does not require tracheoesophageal anastomosis. Study Design: Retrospective. Methods: Nine patients with intractable aspiration pneumonia underwent LTS at our institution from 1996 to 1999. Two patients underwent postoperative barium swallow radiography. Results: Neither halitosis nor stimulation of the cough reflex occurred due to pooled secretions in the blind pouch of the proximal tracheal segment. Barium swallow radiography confirmed that the secretions drained within 40 min by swallowing or a change in patient position. Conclusion: LTS is a satisfactory solution to the problem of chronic aspiration. Neither pooled secretions in the proximal tracheal segment nor fistula formation were significant postoperative problems.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%