Vol.100 No.1 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 100 No. 1 January 2007
Experience with Laryngotracheal Separation at
Hiroshima Prefectural Hospital
Tomohisa Hirai, Noriyuki Fukushima, Kunihiko Ono,
Keishin Go, Masaaki Hajima and Shin Masuda
(Hiroshima Prefectural Hospital)
We report the outcome of laryngotracheal separation for the treatment of intractable aspiration in eight patients; six children and two adults. The surgical procedures should be adopted depending on whether the patient is a child or adult because of differences in the anatomical stiffness of the trachea. Postoperative pharyngeal-tracheal leakage in one case was treated conservatively for three months and the fistula was closed. As a result, recurrent aspiration subsided in all of the patients. In addition, in some cases of tracheal granulations caused by the canula, the granulations disappeared.
Key words:
laryngotracheal separation, aspiration, the surgical procedures