Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-14T05:09:10.187Z Has data issue: false hasContentIssue false

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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