American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 32, Issue 2 , Pages 156-158, March 2011

Laryngotracheal separation procedure for elderly patients

  • Kenta Watanabe, MD

      Affiliations

    • Corresponding Author InformationCorresponding author. Department of Otolaryngology, Tokyo Metropolitan Fuchu Hospital, 2-9-2 Musashidai, Fuchu-shi, Tokyo, 183-8524, Japan. Tel.: +81 42 323 5111; fax: +81 42 323 9209.
    • ,
  • Muneo Nakaya, MD
    • ,
  • Kazuki Miyano, MD
    • ,
  • Kazuya Abe, MD

Received 26 September 2009 published online 21 December 2009.

Abstract 

A procedure for laryngotracheal separation was performed on 5 elderly patients in poor general condition to prevent habitual aspiration pneumonia. Intractable aspiration was relieved in all the patients with no major postoperative complications. In this intervention, a modification of the procedure previously reported, the anterior part of the tracheal and cricoid cartilage was removed, and the subglottic mucosa was sutured to fashion a blind pouch. This procedure could be adjusted even in cases of severe laryngoptosis or after high tracheostomy. Laryngotracheal separation is likely to be useful as a simple and safe procedure even for older patients. If this comes to be, it will serve as a valuable intervention in today's aging society.

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PII: S0196-0709(09)00222-1

doi:10.1016/j.amjoto.2009.10.003

American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 32, Issue 2 , Pages 156-158, March 2011

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