title: Tracheo-tracheal puncture for voice rehabilitation after laryngotracheal separation.
abstract: 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.
authors.affiliation: Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.
authors.forename: L E
authors.initials: LE
authors.lastname: Lombard
authors.forename: R L
authors.initials: RL
authors.lastname: Carrau
mesh_terms: 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*