若年者の難治性誤嚥に対する喉頭気管分離・気管食道吻合術および喉頭気管分離術の検討

抄録

Intractable aspiration may be a life-threatening problem in patients with severe nervous or muscular disease. We report on surgical procedures for the treatment of intractable aspiration in 11 patients ranging in age from 7 months to 22 years. There were 4 patients with cerebral palsy, 3 with anoxic encephalopathy, 1 with spinocerebellar degeneration, progress muscular dystrophy, Werdnig-Hoffmann disease and Mövius' syndrome. The tracheoesophageal diversion procedure was performed in 3 patients, and the laryngetracheal separation procedure in 8 patients. These procedures were successful in preventing aspiration. The incidence of getting pneumonia and the suctioning frequency decreased. Home nursing requirements also decreased. These procedures increased mobility and improved the quality of life in the patients. We think that these procedures are low-risk and effective for the treatment of intractable aspiration in patients with irreversible nervous or muscular disease.