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Updated: May 17, 2026
05:07
CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
[Surgery for severe aspirations].
S Von Wihl1, S Bouayed, R Kohler
1Service d'ORL et de chirurgie cervico-faciale, HUG, 1211 Genève 14.
Revue Medicale Suisse
|November 9, 2012
Summary
Surgical interventions like laryngeal suspension and laryngotracheal separation can help patients with severe dysphagia. These procedures aid oral nutrition restoration and prevent aspiration, though modifications may be needed.
Area of Science:
- Otolaryngology
- Surgical innovation
Background:
- Severe dysphagia poses significant challenges, often leading to recurrent aspiration pneumonia.
- Traditional swallowing therapy and surgical options have limitations for severe cases.
Purpose of the Study:
- To evaluate the efficacy of laryngeal suspension and laryngotracheal separation for severe dysphagia.
- To assess the outcomes of these surgical techniques in restoring oral nutrition and preventing aspiration.
Main Methods:
- Retrospective review of 19 patients with severe dysphagia.
- Surgical procedures included laryngeal suspension and laryngotracheal separation.
Main Results:
- Oral nutrition was restored in 45% of laryngeal suspension cases.
- Oral nutrition was restored in 75% of laryngotracheal separation cases.
- Both techniques prevented severe aspiration while preserving phonation.
Conclusions:
- Laryngeal suspension and laryngotracheal separation are viable surgical options for severe dysphagia.
- Tracheocutaneous fistulas were common, particularly post-radiation, indicating a need for technique refinement.
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