Intractable aspiration in a young child and its surgical management.
Intractable aspiration is a life-threatening condition. The problems encountered in a young child with severe intractable aspiration due to bilateral bulbar palsy following the surgical removal of a cerebellar astrocytoma are described. The various options of surgical treatment are discussed and Sasaki's technique of triple layer closure of the larynx using a superiorly based sternohyoid muscle flap is outlined in detail.
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Department of E.N.T., Plymouth General Hospital.
D001254:Astrocytoma / Q000601:surgery; D010244:Bulbar Palsy, Progressive / Q000150:complications; D002528:Cerebellar Neoplasms / Q000601:surgery; D002675:Child, Preschool; D006801:Humans; D007830:Larynx / Q000601:surgery; D008297:Male; D008722:Methods; D011015:Pneumonia, Aspiration / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications