重度誤えんに対する喉頭閉鎖手術　後部声門の閉鎖を併用した改良術式

DOI 被引用文献1件 オープンアクセス

書誌事項

タイトル別名
  • Surgical Closure of the Larynx for Intractable Aspiration: Improved Surgical Technique in Combination with Closure of Posterior Glottis.
  • Improved Surgical Technique in Combination with Closure of Posterior Glottis
  • -後部声門の閉鎖を併用した改良術式-

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説明

The posterior part of the larynx closes completely not at the glottis but at the supraglottis, and the bilateral arytenoids come into contact at the superior portion of the arytenoid cartilage from the vocal process to the apex. We have performed surgical closure of the larynx for intractable aspiration using this functional anatomy of the posterior glottis.<BR>Our operative procedure was as follows. 1) Suprahyoid pharyngotomy was performed under general anesthesia. 2) To close the posterior part of the larynx, the mucosa of the superior portion of the arytenoids was removed to make a raw surface, and bilateral arytenoid cartilages were sutured. Then, the mucosa of the bilateral arytenoids was also sutured. 3) To close the supraglottis, the mucosa of both the aryepiglottic folds and the laryngeal surface of the epiglottis were removed and sutured to each other.<BR>The advantages of this procedure were the following. 1) This method makes a complete closure of the posterior part of the larynx. As a result, it prevents aspiration securely. 2) This method can make a closure of not only the supraglottis but also of the glottis using the suprahyoidpharyngeal approach.

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詳細情報 詳細情報について

  • CRID
    1390282679990118400
  • NII論文ID
    130003669834
  • DOI
    10.2468/jbes.49.31
  • ISSN
    18806848
    00290645
    http://id.crossref.org/issn/00290645
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • Crossref
    • CiNii Articles
    • OpenAIRE
  • 抄録ライセンスフラグ
    使用不可

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