Tracheoesophageal diversion for chronic aspiration in children

  • Matsubara Naoko
    Department of Otolaryngology, Fukuoka City Hospital
  • Umezaki Toshiro
    Department of Otolaryngology, Graduate of Medicine Sciences, Kyushu University
  • Adachi Kazuo
    Department of Otolaryngology, Graduate of Medicine Sciences, Kyushu University
  • Komune Shizuo
    Department of Otolaryngology, Graduate of Medicine Sciences, Kyushu University

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Other Title
  • 小児難治性誤嚥に対する喉頭気管分離術

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Abstract

Tracheoesophageal diversion for chronic aspiration was performed on ten children with a history of repeated pneumonia. The surgical procedure in all cases was tracheoesophageal anastomosis. We evaluated the disease in each case, the history of prior tracheotomy, swallowing ability, type of food that could be consumed, and postoperative complications. Seventy percent of subjects had brain damage due to hypoxia, and 40% of subjects had undergone prior tracheotomy. Aspiration ceased after surgery in all cases. Post-operative ingestion was related to improvement of primary disease, and 10% of the children were able to eat only orally with improvement of the general condition. However, oral ingestion does not necessarily become possible after tracheoesophageal diversion. No case was complicated by fistula. It is essential to fill the space between the trachea and esophagus with muscle or thyroid gland tissue. Tracheoesophageal diversion is thought to be effective and safe surgery for children.

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