Rehabilitative surgery for aspiration. A clinical analysis

Operative intervention for refractory aspiration necessitates an understanding of its prognostic implications. The closure procedures most often performed are evaluated, comparing and rating technical difficulty, degree of closure, reversibility, and vocalization, both immediately and after reconstruction. The epiglottic over-sew was shown to have merit. Its distinctive features include the potential for postclosure phonation as well as the opportunity for sequential reversal. Both of these features make mastering the technique worthwhile.