Document Detail


A new epiglottoplasty procedure for the treatment of intractable aspiration.
MedLine Citation:
PMID:  9550258     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intractable aspiration may require diversion of the airway from the pharynx. The epiglottoplasty procedure involves suturing the epiglottis onto the perimeter of the larynx without creating resistance to the natural lines of force of the epiglottic cartilage. The procedure starts by an anterior subhyoid pharyngotomy. The epiglottis is released from the pre-epiglottic space and the thyroepiglottic ligament is sectioned. The disinsertion is completed in the laryngeal lumen by sectioning the epiglottis on each side by following its edges. The pharyngoepiglottic folds are preserved so as to serve as the rotational axis for the freed epiglottis. The petiole of the epiglottis is anchored to the posterior commissure and the free edge of the epiglottis above the ala and the angle of the thyroid cartilage, while the lateral sides of the suprahyoid epiglottis are sutured to the superior part of the arytenoids. This procedure was performed successfully in three patients with intractable aspiration.
Authors:
M Remacle; L Marza; G Lawson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery     Volume:  255     ISSN:  0937-4477     ISO Abbreviation:  Eur Arch Otorhinolaryngol     Publication Date:  1998  
Date Detail:
Created Date:  1998-06-30     Completed Date:  1998-06-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9002937     Medline TA:  Eur Arch Otorhinolaryngol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  64-7     Citation Subset:  IM    
Affiliation:
Department of ENT and Head and Neck Surgery, University Hospital of Louvain at Mont-Godinne, Yvoir, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cerebrovascular Disorders / complications
Chronic Disease
Epiglottis / surgery*
Humans
Male
Pharynx
Pneumonia, Aspiration / etiology,  surgery*
Suture Techniques

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