Objective: To determine the outcome of laryngotracheal separation (LTS) in 60 patients in terms of the control and prevention of severe and persistent aspiration, morbidity and mortality, reversibility rate, and the influence of the presence of a tracheostomy.
Study Design: Retrospective study.
Results: LTS showed significant efficacy rates in terms of both treatment (87%) and prevention (100%) of pulmonary aspiration. Twenty-six (43%) patients developed postoperative complications. A tracheocutaneous fistula of the proximal tracheal stump was observed in 14 (23%) patients and was the most frequent complication, especially in patients with a therapeutic indication (P = 0.028) and in those with a tracheostomy (P = 0.058). Reversion of LTS was possible in 12 (20%) patients, mainly those with a prophylactic indication (P = 0.005). However, the rates of complications (58%) and inefficacy (27%) of reversion surgery were high.
Conclusion: LTS is effective in the elimination and prevention of clinically intractable aspiration. The procedure is potentially reversible. However, the frequency of complications for both LTS and reversion surgery is significant.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.otohns.2006.05.018 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Simultaneous surgery for gastrostomy and laryngotracheal separation in a patient with Tay‒Sachs disease.
Hum Genome Var
November 2024
Center for Promoting Treatment of Intractable Disease, ISEIKAI International General Hospital, Osaka, Japan.
Genetic testing identified novel compound heterozygous missense variants in the HEXA gene (NM_00520.6: c.775A>C and NM_000520.
View Article and Find Full Text PDFInvasive Fungal Laryngotracheitis Causing Laryngotracheal Separation.
Cureus
October 2024
Department of Otorhinolaryngology, Hospital Shah Alam, Shah Alam, MYS.
Fungal laryngotracheitis (FLT) is rare, and the diagnosis can be challenging, as its presentation lacks specificity and may resemble other conditions such as granulomatous disease, gastroesophageal reflux, or malignancy. FLT can be very invasive, causing complete laryngotracheal separation, leading to a non-functioning larynx. We report a 39-year-old Indian woman with diabetes who presented to the emergency department with a sore throat, hoarseness, dysphagia, and stridor for two days.
View Article and Find Full Text PDFThe Efficacy of a Ketogenic Diet in a Case With Febrile Infection-Related Epilepsy Syndrome in the Chronic Phase: A Case Report.
Cureus
July 2024
Department of Child Neurology, National Center of Neurology and Psychiatry, Tokyo, JPN.
Article Synopsis
- Current research on febrile infection-related epilepsy syndrome (FIRES) focuses primarily on acute management, with limited evidence for chronic phase treatment.
- A 19-year-old woman with longstanding FIRES showed significant improvement in seizure control and respiratory stabilization after starting a ketogenic diet (KD) 15 years post-diagnosis.
- This case suggests that KD could be an effective treatment option for patients with FIRES in the chronic phase, similar to its benefits in the acute phase.
Intratracheal Amylase Levels and Salivary Aspiration in Children with Tracheostomy.
JMA J
July 2024
Center for Postgraduate Education and Training, National Center for Child Health and Development, Tokyo, Japan.
Impact of definitive surgery for esophageal atresia on long-term outcomes in patients with trisomy 18.
Am J Med Genet A
November 2024
Department of Neonatology, Hyogo Prefectural Kobe Children's Hospital Perinatal Center, Kobe, Hyogo, Japan.
This study investigates the long-term outcomes of palliative and definitive surgeries for esophageal atresia (EA) in patients with trisomy 18 syndrome. A retrospective study included 25 cases undergoing EA surgery at our center between 2008 and 2022. The Palliative group (n = 16) comprised 13 cases with esophageal banding and 3 with tracheoesophageal fistula (TEF) division.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!