title: Triple-layer laryngeal closure for intractable aspiration.
abstract: Impaired laryngeal protective function can result in intractable aspiration, which causes recurrent life-threatening pneumonia. Several surgical operations have been developed to treat intractable aspiration. In this case, we report a successful case of triple-layer laryngeal closure, which was performed in a patient with type II diabetes mellitus and nutritional failure due to intractable aspiration that had been caused by several stroke attacks. Triple-layer laryngeal closure is a unique modified technique that combines laryngotracheal separation and glottic closure operations. The method that we performed can be done more safely in patients who have higher post-operative and general anaesthesia risks.
authors.affiliation: Department of Otorhinolaryngology, Gaziosmanpasa University, Faculty of Medicine, Tokat, Turkey. Guvenmehmet28@yahoo.com
authors.forename: Guven
authors.initials: G
authors.lastname: Mehmet
authors.forename: Aladag
authors.initials: A
authors.lastname: Ibrahim
authors.forename: Eyibilen
authors.initials: E
authors.lastname: Ahmet
authors.forename: Kaplan
authors.initials: K
authors.lastname: Yuksel
mesh_terms: D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D006801:Humans; D007830:Larynx / Q000601:surgery*; D008297:Male; D009748:Nutrition Disorders / Q000209:etiology; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods; D011015:Pneumonia, Aspiration / Q000209:etiology / Q000601:surgery*; D020521:Stroke / Q000150:complications; D016896:Treatment Outcome