[Surgical treatment for the chronic severe aspiration].
OBJECTIVE
To find out the best surgical treatment for chronic severe aspiration with different pathogenesis.


METHODS
Eight patients with severe aspiration were treated by 3 surgical methods. Six of 8 cases were perfomed tracheotomy. The cannula had a gasbag and the gasbag was inflated before eating food every time. Epiglottic flap closure for one patient with intractable aspiration. Stomach-stomy for the case with tracheoasophageal fistula.


RESULTS
There did not found aspiratory pneumonia in all cases after following up for 9 months to 4.5 years. The six cases with tracheotomy could eating normally and their phonation were reserved. Only one case has a slight aspiration. The patient with epiglottic flap closure hadn't aspirated when eating. The stomach-stomy could prevent the aspiration in having meal.


CONCLUSIONS
Tracheotomy, epiglottic flap closure and stomach-stomy are all the effective surgical treatment for chronic severe aspiration. Any of 3 surgical methods should be selected according to the etiology, the degree of aspiration and the patient's condition, so as to improve the quality of the patient's life.
Wang
Hao
H
Department of Otolaryngology, Second Affiliated Hospital of Shantou University Medical College, Shantou 515041.
Shen
Zhizhong
Z
Yao
Zhuohua
Z
Qiu
Huaguang
H
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003680:Deglutition Disorders / Q000150:complications / Q000601:surgery*; D004825:Epiglottis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011015:Pneumonia, Aspiration / Q000209:etiology*; D013514:Surgical Procedures, Operative / Q000379:methods; D014140:Tracheotomy