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Intractable aspiration in a young child and its surgical management

Published online by Cambridge University Press:  29 June 2007

N. S. Violaris
Affiliation:
N.S. Violaris, F.R.C.S. Department of E.N.T., Plymouth General Hospital, Greenbank Hospital, Plymouth.

Abstract

Intractable aspiration is a life-threatening condition. The problems encountered in a young child with severe intractable aspiration due to bilateral bulbar palsy following the surgical removal of a cerebellar astrocytoma are described. The various options of surgical treatment are discussed and Sasaki's technique of triple layer closure of the larynx using a superiorly based sternohyoid muscle flap is outlined in detail.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1988

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References

Barron, B. C. and Dedo, H. H. (1980) Separation of the Larynx and Trachea for Intractable aspiration. Laryngoscope, 90: 1927–32.CrossRefGoogle Scholar
Brookes, G. B. and McKelvie, P. (1983) Epiglottopexy: a new surgical technique to prevent intractable aspiration. Annals of the Royal College of Surgeons of England. 65: 203–6.Google ScholarPubMed
Habal, M. and Murray, J. E. (1972) Surgical treatment of life endangering chronic aspiration pneumonia. Plastic and Recon-structive Surgery. 49: 305–11.CrossRefGoogle ScholarPubMed
Linderman, R. C., Yarrington, C. T and Sutton, D. (1976) Clini-cal experience with the Tracheosophageal anastomosis for intractable aspiration. Annals of Otology, Rhinology and Laryngology, 85: 609612.CrossRefGoogle Scholar
Montgomery, W. M. (1975) Surgery to prevent Aspiration. Arch-ives of Otolaryngology, 101: 679–82.CrossRefGoogle ScholarPubMed
Sasaki, C. T., Milmoe, G., Vanagisawal, E., Berry, K and Kirchner, J. A. (1980) Surgical closure of the larynx for intract-able aspiration. Archives of Otolaryngology, 106: 422–3.CrossRefGoogle ScholarPubMed
Tucker, H. M. (1979) Management of the patient with an incompetent Larynx. American Journal of Otology, 1: 4756.CrossRefGoogle ScholarPubMed