抄録
Various surgical techniques have been reported for the treatment of aspiration. Laryngeal closure is one of those methods. Usually it is performed under general anesthesia. However, it is difficult for poor risk patients to undergo this procedure. This paper reports a new method of laryngeal closure which is conducted with the endolaryngeal laryngomicrosurgery technique. Silastic gel (Fycone 6600, Fx82®) is injected in the vocal folds. The vocal fold edges are deepithelized and the bilateral vocal folds are fused by means of fibrinogen (Beriplast P®). This method was successfully conducted in two patients. It is easy to perform and can be completed within a rather short time.