Abstract
This report includes three cases of glottic closure with central neural diseases. The first case in fifty-five-year-old male with olivo-pont-cerebellar degeneration who had a sudden onset of dyspnea after his gastric haemorrhage. Aftertracheostomy was performed, his dysphagia deterioated and cricopharyngeal myotomy and infra-hyoid myotomy were performed. Eventually, his dyphagia improved and tracheal Tshaped tube was inserted.
The second case is a seventy-one-year-old female. She was suspected to have striatonigral degeneration. In the beginning of her admission her glottis was not closed completely and her dyspnea gradually increased because her glottic closure was deteriorated. After she was tracheostomized, she also had light dysphagia which was soon improved and tracheal T-shaped tube was inserted.
The third case is a thirty-seven-year-old male diagnosed as Arnold-Chiari malfomation. After tracheostomy, T-shaped tube was inserted. The T-tube was tried to be taken out but failed. It was mainly because he lost his willing to have rehabilitation.
The tracheal T-shaped tube is useful in the cases of the glottic closure originated in central neural diseases if they do not have severe dysphagia.
