Surgical Treatment of Life-Endangering Chronic Aspiration Pneumonia

Habal, Mutaz B.; Murray, Joseph E.

doi:10.1097/00006534-197203000-00011

Cited by 135 publications

(38 citation statements)

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“…Bilateral rotation flaps of mucosa from the adjacent pyriform sinuses were used to cover the raw surface of the epiglottis. The first patient reported by Habal and Murray [17] to undergo the procedure developed an unexpected one-way valve that allowed contrast material to escape from the larynx to the oesophagus, but not in the opposite direction. This fortuitous one-way valve mechanism allowed the patient to pass enough air to speak, but not enough for normal breathing.…”

Section: Discussionmentioning

confidence: 99%

Intractable pulmonary aspiration in children: Which operation?

Hafidh

Young

Russell

2006

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionmentioning

confidence: 99%

Intractable pulmonary aspiration in children: Which operation?

Hafidh

Young

Russell

2006

International Journal of Pediatric Otorhinolaryngology

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“…This has the advantage of not causing any scarring in the area of the vocal cords. Habal et al in 1972 [63] described a two-layered horizontal closure of the supraglottis via a pharyngotomy. The epiglottis, aryepiglottic folds, arytenoids, and interarytenoid area are then incised and the tip of the epiglottis is then folded over the arytenoids and sutured in place.…”

Section: Glottie and Supraglottic Laryngeal Closurementioning

confidence: 99%

Approaches to the patient with aspiration and swallowing disabilities

Blitzer

1990

Dysphagia

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Aspiration, or soiling of the tracheobronchial tree, can produce life-threatening pulmonary disease. Intermittent or persistent aspiration may cause symptoms including cough, intermittent fever, recurrent tracheobronchitis, atelectasis, pneumonia, and/or empyema. The pulmonary disease may be associated with weight loss, cachexia, and dehydration. In many cases the aspiration is caused by laryngeal dysfunction, allowing pulmonary contamination by swallowed material. In other cases the aspiration is caused by a dysfunction of the oral, pharyngeal, or esophageal phases of swallowing. In some cases the aspiration is caused by a combination of laryngeal and swallowing dysfunction. Geriatric patients are more likely to experience aspiration, since muscle weakness causing mechanical disability and neurologic impairment are more common in this age group. Therefore, with the ever-increasing aging of our population, these disabilities will be on the rise, with an associated increase in pulmonary disease and death. The approach to evaluation and management of these disorders must be based on an understanding of the underlying functional impairment.

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“…and others (Biller el al. 1983, Habal and Murray 1972, Montgomery 1975. In our experience, the patient who has undergone total glossectomy can be rehabilitated for partial deglutition and speech by suspension of the larynx to the mandible.…”

Section: Lingual Componentmentioning

confidence: 99%

The effects of surgery on pharyngeal deglutition

McConnell

Mendelsohn

1987

Dysphagia

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Abstract. Airway defense during pharyngeal deglulitton depends upon precise timing of the tongue, larynx and pharynx actions. After excision of cancer the surgeon must reconstruct the lingual-laryngeal-pharyngeal mechanism in such a way that the complcx and precise coordination of swallowing is retained. New surgical reconstructive techniques facilitate retention or restoration of swallowing. The contribution of manofluorography to postoperative evaluation of swallowing is described.

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Surgical Treatment of Life-Endangering Chronic Aspiration Pneumonia

Cited by 135 publications

References 0 publications

Intractable pulmonary aspiration in children: Which operation?

Intractable pulmonary aspiration in children: Which operation?

Approaches to the patient with aspiration and swallowing disabilities

The effects of surgery on pharyngeal deglutition

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