喉頭気管分離術の検討

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  • Experience with Laryngotracheal Separation at Hiroshima Prefectural Hospital
  • リンショウ コウトウキカン ブンリジュツ ノ ケントウ

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We report the outcome of laryngotracheal separation for the treatment of intractable aspiration in eight patients; six children and two adults. The surgical procedures should be adopted depending on whether the patient is a child or adult because of differences in the anatomical stiffness of the trachea. Postoperative pharyngeal-tracheal leakage in one case was treated conservatively for three months and the fistula was closed. As a result, recurrent aspiration subsided in all of the patients. In addition, in some cases of tracheal granulations caused by the canula, the granulations disappeared.

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