Tracheo-tracheal puncture for voice rehabilitation after laryngotracheal separation.
For patients with intractable aspiration, laryngotracheal separation (LTS) may be the only means of protecting the airway. The LTS prevents pulmonary compromise caused by aspiration; however, airway separation from the larynx also prevents laryngeal phonation. This case report suggests a supplemental procedure to the LTS, which maintains airway protection yet allows for laryngeal communication.
Lombard
L E
LE
Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.
Carrau
R L
RL
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D003680:Deglutition Disorders / Q000517:prevention & control; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery; D007830:Larynx / Q000601:surgery*; D007831:Larynx, Artificial; D008297:Male; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D010611:Pharyngectomy / Q000379:methods; D011015:Pneumonia, Aspiration / Q000517:prevention & control; D011677:Punctures / Q000379:methods*; D013061:Speech Acoustics; D014132:Trachea / Q000601:surgery*; D014832:Voice Disorders / Q000534:rehabilitation*