2021 Volume 31 Issue 1 Pages 1-6
We conducted a retrospective analysis of the oral feeding conditions before and after surgery for 30 amyotrophic lateral sclerosis （ALS） patients who had undergone aspiration prevention surgery in Kamagaya General Hospital for the 6 years from June 2013 to June 2019 and for whom more than 6 months had passed. Surgery for aspiration prevention was performed by total laryngectomy, tracheoesophageal anastomosis and glottic closure with cricopharyngeal myotomy. In patients who underwent total laryngectomy, oral intake was significantly improved immediately after surgery and at 6 months after surgery, and the presence or absence of preoperative aspiration pneumonia did not affect postoperative oral intake. Total laryngectomy is considered to be the best treatment for patients who strongly desire oral intake regardless of preoperative swallowing function.
