Tracheoesophageal Diversion for Chronic Aspiration Pneumonia

만성 흡인성폐렴에서 기관식도 우회로술

  • Published : 1993.04.01

Abstract

Breakdown of the normal protective function of the larynx, either through primary or neurologic cause, leads to chronic aspiration, recurrent pneumonitis and possibly death. Lindemann`s tracheoesophageal diversion has three main advantages; first, it eliminates intractable aspiration in all patients who underwent the procedure, second, it preserves larynx, and third, if the underlying neurologic condition is recorved, the procedure can be reversed. We had performed tracheoesophageal diversion in two cases of intractable aspiration pneumonia patients. The postoperative courses were uneventful and they were receiving oral alimentation on the 22th and 9th postoperative days respectively, and could be discharged on 43th and 20th postoperative days respectively.

Keywords

References

  1. J Plast Reconstr Surg v.49 Surgical treatment of life-endangering chronic aspiration pneumonia Habal,M.A.;Murray,J.E.
  2. Ann Otol v.86 Clinical experience with the tracheoesophageal anastomosis for intractable aspiration Lindemann,R.C.;Yarington,C.T.Jr.;Sutton,D.
  3. Arch Otolaryngol v.101 Surgery to prevent aspiration Montgomery,W.W.
  4. Arch Otolaryngol v.106 Surgical closure of the larynx for intractable aspiration Sasaki,C.T.;Milmoe,G.;Yanagisawa,E.
  5. Am J Surg v.146 Reconstruction after total or subtotal glossectomy Krespi,Y.P.;Sisson,G.A.
  6. Laryngoscope v.90 Seperation of the larynx and trachea for intractable aspiration Baron,B.C.;Dedo,H.H.
  7. Laryngoscopic v.94 Modified tracheoesophageal diversion for chronic aspiration Yosef,P.K.;Vito,C.Q.;George,A.S.
  8. Ann Thorac Surg v.51 Tracheoesophageal anastomosis for intractable aspiration pneumonia Nakasaki,H.;Sugihara,T.;Tajima,T.(et al.)