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Triple-layer laryngeal closure for intractable aspiration

Published online by Cambridge University Press:  08 March 2006

Guven Mehmet ,
Aladag Ibrahim ,
Eyibilen Ahmet  and
Kaplan Yuksel
Guven Mehmet
Affiliation:
Department of Otorhinolaryngology, Gaziosmanpasa University Faculty of Medicine, Tokat, Turkey
Aladag Ibrahim
Affiliation:
Department of Otorhinolaryngology, Gaziosmanpasa University Faculty of Medicine, Tokat, Turkey
Eyibilen Ahmet
Affiliation:
Department of Otorhinolaryngology, Gaziosmanpasa University Faculty of Medicine, Tokat, Turkey
Kaplan Yuksel
Affiliation:
Department of Neurology, Gaziosmanpasa University Faculty of Medicine, Tokat, Turkey
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Abstract

Impaired laryngeal protective function can result in intractable aspiration, which causes recurrent life-threatening pneumonia. Several surgical operations have been developed to treat intractable aspiration. In this case, we report a successful case of triple-layer laryngeal closure, which was performed in a patient with type II diabetes mellitus and nutritional failure due to intractable aspiration that had been caused by several stroke attacks. Triple-layer laryngeal closure is a unique modified technique that combines laryngotracheal separation and glottic closure operations. The method that we performed can be done more safely in patients who have higher post-operative and general anaesthesia risks.

Keywords

Aspiration PneumoniaLarynxSurgical Procedures
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 119 , Issue 7 , July 2005 , pp. 564 - 566
Copyright
© 2005 Royal Society of Medicine Press

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