The utility of tracheoesophageal diversion for dysphagia in children

  • ADACHI Kazuo
    Department of Otorhinolaryngology, Faculty of Medicine, Kyushu University
  • UMEZAKI Toshiro
    Department of Otorhinolaryngology, Faculty of Medicine, Kyushu University
  • TOH Satoshi
    Department of Otorhinolaryngology, Faculty of Medicine, Kyushu University
  • TSUJI Kouji
    Department of Otorhinolaryngology, Shimonoseki City Hospital
  • SHINZATO Yuichi
    Department of Otorhinolaryngology, Faculty of Medicine, Kyushu University
  • KOMIYAMA Sohtaro
    Department of Otorhinolaryngology, Faculty of Medicine, Kyushu University

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Other Title
  • 小児の嚥下障害に対する気管食道変行術の工夫とその有用性

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Abstract

Tracheoesophageal diversion is a good technique for patients with severe difficulty in swallowing and intractable aspiration pneumonia. In 1984 Krespi described this method for the treatment of the patients with pre-existing tracheostomies. Our method is a modification of Krespi's procedure, and is designed for patients who have undergone an upper level tracheostomy. We performed this procedure on two children and no post-operative complications were observed. Thanks to the effectiveness of this procedure, the patients were thereafter able to resume normal oral feeling and thus were able to achieve an improved quality of life.

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