Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-13T02:10:16.691Z Has data issue: false hasContentIssue false
  • English
  • Français

Laryngotracheal separation under local anaesthesia for intractable salivary aspiration: cricoidectomy with fibrin glue support

Published online by Cambridge University Press:  29 June 2007

Michihiko Sone ,
Tsutomu Nakashima  and
Noriyuki Yanagita
Michihiko Sone*
Affiliation:
Department of Otorhinolaryngology, Nagoya University School of Medicine, Nagoya, Japan
Tsutomu Nakashima
Affiliation:
Department of Otorhinolaryngology, Nagoya University School of Medicine, Nagoya, Japan
Noriyuki Yanagita
Affiliation:
Department of Otorhinolaryngology, Nagoya University School of Medicine, Nagoya, Japan
*
Address for correspondence: Michihiko Sone, M.D., Department of Otorhinolaryngology, Nagoya University School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466, Japan. Fax: 81-52-741-1678
Get access Rights & Permissions [Opens in a new window]

Abstract

Chronic salivary aspiration can cause life-threatening pneumonia in a patient whose laryngeal function is completely lost. We report a patient who had laryngotracheal separation with cricoidectomy under local anaesthesia. The simplicity and reliability of the procedure were improved by using fibrin glue and the outcome was most satisfactory.

Keywords

AspirationSalivaCricoid cartilageTracheaSurgeryFibrin tissue adhesive
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 1 , January 1996 , pp. 72 - 74
Copyright
Copyright © JLO (1984) Limited 1996

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

Baron, B. C., Dedo, H. H. (1980) Separation of the larynx and trachea for intractable aspiration. Laryngoscope 90: 1927–1932.CrossRefGoogle ScholarPubMed
Butcher, R. B. (1982) Treatment of chronic aspiration as a complication of cerebrovascular accident. Laryngoscope 92: 681–685.CrossRefGoogle ScholarPubMed
Eibling, D. E., Snyderman, C. H., Fibling, C. (1995) Laryngotracheal separation for intractable aspiration: a retrospective review of 34 patients. Laryngoscope 105: 83–85.CrossRefGoogle ScholarPubMed
Eisele, D. W., Yarington, C. T. Jr, Lindeman, R. C., Larrabee, W. F. Jr (1989) The tracheoesophageal diversion and laryngotracheal separation procedure for treatment of intractable aspiration. American Journal of Surgery 157: 230–236.CrossRefGoogle ScholarPubMed
Eisele, D. W., Seely, D. R., Flint, P. W., Cummings, C. W. (1995) Subperichondreal cricoidectomy: an alternative to laryngectomy for intractable aspiration. Laryngoscope 105: 322–325.CrossRefGoogle Scholar
Habal, M. B., Murray, J. E. (1972) Surgical treatment of life- endangering chronic aspiration pneumonia. Plastic and Reconstructive Surgery 49: 305–311.Google Scholar
Hawthorne, M., Gray, R., Cottam, C. (1987) Conservative laryngectomy (An effective treatment for severe aspiration in motor neurone disease). Journal of Laryngology and Otology 101: 283–285.CrossRefGoogle ScholarPubMed
Krespi, Y. P., Pelzer, H. J., Sisson, G. A. (1985) Management of chronic aspiration by subtotal and submucosal cricoid resection. Annals of Otology, Rhinology and Laryngology 94: 580–583.Google Scholar
Lindeman, R. C. (1975) Diverting the paralyzed larynx: a reversible procedure for intractable aspiration. Laryngoscope 85: 157–180.CrossRefGoogle ScholarPubMed
Lindeman, R. C., Yarington, C. T. Jr, Sutton, D. (1976) Clinical experience with the tracheoesophageal anastomosis for intractable aspiration. Annals of Otology, Rhinology and Laryngology 85: 609–612.CrossRefGoogle Scholar
Montgomery, W. W. (1975) Surgery to prevent aspiration. Archives of Otolaryngology 101: 679–682.Google Scholar
Sasaki, C. T., Milmoe, G., Yanagisawa, E., Berry, K., Kirchner, J. A. (1980) Surgical closure of the larynx for intractable aspiration. Archives of Otolaryngology 106: 422–423.Google Scholar