Intractable pulmonary aspiration in children: which operation?

Abstract:

:Intractable aspiration is a life-threatening medical problem. There are many surgical procedures for the treatment of intractable aspiration. Our experience with three children was reported here. After failing initial conservative measures, the first two patients had supraglottic laryngeal closure performed through an endoscopic approach with a small hole left superiorly for phonation. However, both of them developed dehiscence of the closure postoperatively, necessitating a more definitive procedure to stop the aspiration. Their symptoms of aspiration were only relieved after they underwent laryngotracheal separation. In the third child, laryngotracheal separation was performed as the initial procedure and the symptoms of recurrent aspiration were relieved. In conclusion, the treatment of intractable aspiration requires a definitive procedure from the outset and we would suggest, based on literature review and on our experience, that laryngotracheal separation is the most effective and reliable option, albeit lack of phonation is inevitable. A comprehensive review of all procedures used for treatment of this condition was also undertaken.

authors

Hafidh MA,Young O,Russell JD

doi

10.1016/j.ijporl.2005.05.010

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

19-25

issue

1

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(05)00237-5

journal_volume

70

pub_type

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