Surgical Management of Chronic Aspiration: Multimedia

References

1. Habal MB, Murray JE. Surgical treatment of life-endangering chronic aspiration pneumonia. Use of an epiglottic flap to the arytenoids. Plast Reconstr Surg. Mar 1972;49(3):305-11. [Medline].

2. Lindeman RC. Diverting the paralyzed larynx: a reversible procedure for intractable aspiration. Laryngoscope. Jan 1975;85(1):157-80. [Medline].

3. Eisele, David W. Chronic aspiration. In: Cummings CW, et al, eds. Otolaryngology Head and Neck Surgery. 3^rd ed. St Louis: Mosby-Year Book; 1998:1989-1990.

4. Hollinshead HW, Rosse C. Textbook of Anatomy. 4^th ed. Philadelphia: Harper & Row; 1985:891-910, 987-1005.

5. Schonhofer B, Barchfeld T, Haidl P, Kohler D. Scintigraphy for evaluating early aspiration after oral feeding in patients receiving prolonged ventilation via tracheostomy. Intensive Care Med. Mar 1999;25(3):311-4. [Medline].

6. Strome M, Shapiro J. Aspiration. In: Fried MP, ed. The Larynx: A Multidisciplinary Approach. 2^nd ed. St Louis: Mosby-Year Book; 1996:358.

7. Chas M, Steinberg, Byron J, Bailey. Surgery of the Larynx. WB Saunders and Co; 1985:322.

8. Dedo, Herbert H. Surgery of the Larynx and Trachea. BC Decker Inc; 1990:66.

9. Wisdom G, Krespi YP, Blitzer A. Surgical therapy for chronic aspiration. Operative Techniques in Otolaryngology-Head and Neck Surgery. 1997;Dec:199-208.

10. Krespi YP, Blitzer A. Laryngectomy for aspiration: Narrow field technique. Operative Techniques in Otolaryngology-Head and Neck Surgery. 1997;Dec:227-30.

11. Lore JM. An Atlas of Head and Neck Surgery. 3rd ed. Philadelphia: WB Saunders; 1988:920.

12. Cummings CW. Otolaryngology-Head and Neck Surgery. 2^nd ed. St Louis: Mosby; 1993:2065.

13. Isshiki N, Morita H, Okamura H, Hiramoto M. Thyroplasty as a new phonosurgical technique. Acta Otolaryngol. Nov-Dec 1974;78(5-6):451-7. [Medline].

14. Stasney CR. Thyroplasty: Type one. In: Bailey B, et al, eds. Atlas of Head and Neck Surgery/Otolaryngology. Philadelphia: Lippincott; 1996:594.

15. Myers, Eugene N, et al. Operative Otolaryngology-Head and Neck Surgery. Philadelphia: WB Saunders; 1997.

16. Koufman JA. Management of the paralyzed vocal cord. In: Myers E, et al, eds. Operative Otolaryngology-Head and Neck Surgery. Philadelphia: WB Saunders; 1997:380-395.

17. Beaty MM, Hoffman HT. Impact of laryngeal paralysis and its treatment on the glottic aperture and upper airway flow characteristics during exercise. Otolaryngol Head Neck Surg. Jun 1999;120(6):819-23. [Medline].

18. Montgomery WW. Surgery to prevent aspiration. Arch Otolaryngol. Nov 1975;101(11):679-82. [Medline].

19. Pototschnig CA, Schneider I, Eckel HE, Thumfart WF. Repeatedly successful closure of the larynx for the treatment of chronic aspiration with the use of botulinum toxin A. Ann Otol Rhinol Laryngol. Jul 1996;105(7):521-4. [Medline].

20. Thevasagayam MS, Willson K, Jennings C, Pracy P. Bilateral medialization thyroplasty: an effective approach to severe, chronic aspiration. J Laryngol Otol. Aug 2006;120(8):698-701. [Medline].

21. Jarnagin WR, Duh QY, Mulvihill SJ, Ridge JA, Schrock TR, Way LW. The efficacy and limitations of percutaneous endoscopic gastrostomy. Arch Surg. Mar 1992;127(3):261-4. [Medline].

22. Klodell CT, Carroll M, Carrillo EH, Spain DA. Routine intragastric feeding following traumatic brain injury is safe and well tolerated. Am J Surg. Mar 2000;179(3):168-71. [Medline].

23. Kimmey MB, Silverstein FE. Gastrointestinal endoscopy. In: Harrison's Principles of Internal Medicine. 13^th ed. McGraw-Hill, Inc; 1994:1350-1354.

24. Grosfeld JL. Pediatric surgery. In: Sabiston, ed. Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 14^th ed. Philadelphia: WB Saunders; 1991:1167.

25. Dundas DF, Peterson RA. Surgical treatment of drooling by bilateral parotid duct ligation and submandibular gland resection. Plast Reconstr Surg. Jul 1979;64(1):47-51. [Medline].

26. Ellies M, Gottstein U, Rohrbach-Volland S, Arglebe C, Laskawi R. Reduction of salivary flow with botulinum toxin: extended report on 33 patients with drooling, salivary fistulas, and sialadenitis. Laryngoscope. Oct 2004;114(10):1856-60. [Medline].

27. Raval TH, Elliott CA. Botulinum Toxin Injection to the Salivary Glands for the Treatment of Sialorrhea With Chronic Aspiration. Annals of Otology, Rhinology & Laryngology. 117(2):118-122.

28. Lee KJ. Essential Otolaryngology: Head & Neck Surgery. Appleton & Lange; 1999:459.

29. Vijayasekaran S, Unal F, Schraff SA, Johnson RF, Rutter MJ. Salivary gland surgery for chronic pulmonary aspiration in children. Int J Pediatr Otorhinolaryngol. Jan 2007;71(1):119-23. [Medline].

30. Gerber ME, Gaugler MD, Myer CM 3rd, Cotton RT. Chronic aspiration in children. When are bilateral submandibular gland excision and parotid duct ligation indicated?. Arch Otolaryngol Head Neck Surg. Dec 1996;122(12):1368-71. [Medline].

31. Olsen KD. Submandibular salivary gland excision. In: Bailey B, et al, eds. Atlas of Head and Neck Surgery/Otolaryngology. Lippincott; 1996:12-13.

32. El-Hakim H, Richards S, Thevasagayam MS. Major salivary duct clipping for control problems in developmentally challenged children. Arch Otolaryngol Head Neck Surg. May 2008;134(5):470-4. [Medline].

33. El-Hakim H, Richards S, Thevasagayam MS. Major salivary duct clipping for control problems in developmentally challenged children. Arch Otolaryngol Head Neck Surg. May 2008;134(5):470-4. [Medline].

34. Hricko P, Storck C, Schmid S, Stoeckli SJ. Partial cricotracheal resection for successful reversal of laryngotracheal separation in patients with chronic aspiration. Laryngoscope. May 2006;116(5):786-90. [Medline].

35. Raval TH, Elliott CA. Botulinum toxin injection to the salivary glands for the treatment of sialorrhea with chronic aspiration. Ann Otol Rhinol Laryngol. Feb 2008;117(2):118-22. [Medline].

36. Snyderman CH, Johnson JT. Laryngotracheal separation for intractable aspiration. Ann Otol Rhinol Laryngol. Sep-Oct 1988;97(5 Pt 1):466-70. [Medline].

37. Snyderman CH, Johnson JT, Eibling DE. Laryngotracheal diversion and separation in the treatment of massive aspiration. Curr Opin Otolaryngol Head Neck Surg. 1994;2:63-67.

38. Thevasagayam MS, Willson K, Jennings C, Pracy P. Bilateral medialization thyroplasty: an effective approach to severe, chronic aspiration. J Laryngol Otol. Aug 2006;120(8):698-701. [Medline].

39. Tucker HM. Management of the patient with an incompetent larynx. Am J Otolaryngol. Fall 1979;1(1):47-56. [Medline].

40. Yarington CT, Sutton D. Clinical experience with the tracheoesophageal anastomosis for intractable aspiration. Ann Otol Rhinol Laryngol. Sep-Oct 1976;85(5 Pt.1):609-12. [Medline].

Further Reading

Keywords

tracheotomy, laryngectomy, laryngeal suspension, total cricoid resection, partial cricoid resection, vocal fold medialization, laryngeal closure, tracheoesophageal diversion, laryngotracheal separation, LTS, cricopharyngeal myotomy, gastrostomy, jejunostomy, salivary output, fundoplication, airway protection, upper airway, upper aerodigestive tract, oropharynx, pharynx, larynx, phonation, respiration, swallowing

Contributor Information and Disclosures

Author

Mark E Gerber, MD, FACS, FAAP, Assistant Professor of Otolaryngology, Northwestern University, The Feinberg School of Medicine; Head, Pediatric Otolaryngology-Head and Neck Surgery, NorthShore University HealthSystem
Mark E Gerber, MD, FACS, FAAP is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics, American Bronchoesophagological Association, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Rhinologic Society, American Society of Pediatric Otolaryngology, and Society for Ear, Nose and Throat Advances in Children
Disclosure: Nothing to disclose.

Medical Editor

John M Truelson, MD, FACS, Chairman, Division of Head and Neck Surgery, Associate Professor, Department of Otorhinolaryngology, University of Texas Southwestern Medical Center at Dallas
John M Truelson, MD, FACS is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society for Head and Neck Surgery, Phi Beta Kappa, and Texas Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Robert M Kellman, MD, Professor and Chair, Department of Otolaryngology and Communication Sciences, State University of New York, Upstate Medical University
Robert M Kellman, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Neurotology Society, American Rhinologic Society, American Society for Head and Neck Surgery, Medical Society of the State of New York, and Triological Society
Disclosure: GE Healthcare Honoraria Review panel membership

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo  Consulting; Medvoy Ownership interest Management position