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Modified tracheoesophageal diversion for chronic aspiration
Author(s) -
Krespi Yosef P.,
Quatela Vito C.,
Sisson George A.,
Som Max L.
Publication year - 1984
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198410000-00007
Subject(s) - medicine , surgery , aspiration pneumonia , pneumonia
Breakdown of the normal protective function of the larynx, either through primary laryngologic or neurologic causes, leads to chronic aspiration, recurrent pneumonitis and possibly death. In this paper we discuss the existing surgical treatments for chronic aspiration. Tracheal separation and trechcocsophageal diversion are discussed, as are the difficulties of using these procedures in patients with pre‐existing tracheostomies. A modification of trachcoesophageal diversion is presented whereby this procedure can now be utilized in those patients with pre‐existing tracheostomies. The modified tracheoesophageal diversion is performed in five patients successfully. Since most patients have already had tracheotomies in an attempt to control aspiration, we feel that our technique of modified trachcoesophageal diversion enables this group of patients to benefit from this procedure as well.