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Intractable pulmonary aspiration in children: which operation?
Maky A Hafidh1, Orla Young, John D Russell
1Department of Paediatric Otolaryngology, Our Lady's Hospital for Sick Children, Crumlin, Dublin, Ireland. maky@esatclear.ie
International Journal of Pediatric Otorhinolaryngology
|June 16, 2005
Summary
Intractable aspiration, a serious condition, requires definitive surgical treatment. Laryngotracheal separation is presented as the most effective and reliable option for managing severe aspiration in children.
Area of Science:
- Pediatric Surgery
- Otolaryngology
- Gastroenterology
Background:
- Intractable aspiration poses a significant life-threatening risk.
- Various surgical interventions exist for managing intractable aspiration.
Observation:
- Supraglottic laryngeal closure via endoscopy failed in two pediatric patients due to postoperative dehiscence.
- Laryngotracheal separation successfully resolved aspiration symptoms in these two patients.
- Laryngotracheal separation was effective as an initial procedure in a third pediatric patient.
Findings:
- The study suggests that definitive surgical treatment is necessary for intractable aspiration.
- Laryngotracheal separation demonstrated superior efficacy and reliability compared to supraglottic laryngeal closure in the reported cases.
- While effective, laryngotracheal separation results in inevitable loss of phonation.
Implications:
- Laryngotracheal separation should be considered a primary treatment for intractable aspiration.
- Further research into managing phonation post-laryngotracheal separation may be warranted.
- This study contributes to understanding surgical management options for pediatric aspiration.