耳鼻咽喉科臨床
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
臨床
難治性嚥下障害に対する声門下喉頭閉鎖術17例の検討
西村 一成森田 武志隈部 洋平福永 陽子初川 博厚北 真一郎
著者情報
ジャーナル 認証あり

2019 年 112 巻 10 号 p. 679-684

詳細
抄録

Background and aims:

Chronic aspiration, of varied etiology, can be a life-threatening disorder. Laryngotracheal separation has been used as a surgical procedure in the treatment of intractable chronic dysphagia. We performed subglottic closure as another surgical technique, and evaluated the clinical outcomes. We report our cases, along with some review of the literature.

Materials and methods:

We performed this surgical procedure in 17 cases over a period of 46 months from June 2014 to March 2018. Data on the patients’ demographics, presenting clinical feature(s), respiratory care, length of hospitalization, postoperative complications and oral intake were retrospectively analyzed.

Results:

Of the 17 patients, minor anastomotic leakage was noted in only one case, and there were no cases of severe postoperative complications.

Conclusion:

This procedure was performed safely in all the cases. These findings indicated that this procedure is effective and can yield favorable outcomes.

著者関連情報
© 2019 耳鼻咽喉科臨床学会
前の記事 次の記事
feedback
Top