[Analysis of 11 patients with profound multiple disabilities who underwent laryngotracheal separation].
We examined the clinical usefulness of laryngotracheal separation surgery for patients with profound multiple disabilities (PMD). The subjects were 11 severely retarded children who experienced repeated incidents of aspiration pneumonia or who were enough to have aspiration pneumonia easily. A retrospective investigation of their medical records was performed regarding pre- and post-operative data, including the number of times sputum suctionings were required, the number of times pneumonia developed, respiratory conditions, and nutrition methods. The guardians were interviewed regarding musle tone, spasm, sleep quality, internal medications, and changes in mood. After surgery, improvement was confirmed in the number of times sputum suctionings were required, the incidence of pneumonia and respiratory conditions, and oral intake of food in three children. The guardians were aware of improvements in their children's sleep quality and mood. Laryngotracheal separation surgery can reduce the burden of health care for patients with PMD by improving their respiratory conditions and methods of nutrition intake.
Kajimoto
Madoka
M
Department of Pediatrics, Yamaguchi University School of Medicine, Ube, Yamaguchi. kajimoto@yamaguchi-u.ac.jp
Ichiyama
Takashi
T
Suenaga
Naoko
N
Matsufuji
Hironori
H
Nishikawa
Miki
M
Isumi
Hiroshi
H
Furukawa
Susumu
S
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D017281:Cost of Illness; D019988:Children with Disabilities; D005260:Female; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D007223:Infant; D008607:Intellectual Disability; D007830:Larynx / Q000601:surgery*; D008297:Male; D011015:Pneumonia, Aspiration / Q000601:surgery*; D012128:Respiratory Distress Syndrome / Q000601:surgery; D012189:Retrospective Studies; D014140:Tracheotomy; D016896:Treatment Outcome