title: Laryngotracheal closure and cricopharyngeal myotomy for intractable aspiration and dysphagia secondary to cerebrovascular accident.
abstract: OBJECTIVE
  To investigate the clinical value, technique, indications and contraindications of laryngotracheal closure (LTC) and cricopharyngeal myotomy (CPM) for intractable aspiration and dysphagia secondary to a cerebrovascular accident (CVA).
  
  
  METHODS
  Patients (n = 45) with intractable aspiration and dysphagia secondary to a CVA were treated with LTC and CPM. The LTC was performed by suturing the double cords, and packing the strap muscle flap into the subglottic tracheal cavity.
  
  
  RESULTS
  Intractable aspiration was completely eradicated in all patients. The swallowing function was partially improved, and the patients' quality of life was greatly improved. It became easier to care for these patients after surgery.
  
  
  CONCLUSIONS
  LTC and CPM are suitable for intractable aspiration and dysphagia secondary to a CVA.
authors: Department of Otolaryngology, People's Hospital of GuangXi Zhuang Autonomous Region, Nanning, PR China. qshdoctor@163.com
authors: Shen-Hong
authors: SH
authors: Qu
authors: Min
authors: M
authors: Li
authors: Jian-Ping
authors: JP
authors: Liang
authors: Zheng-Zhong
authors: ZZ
authors: Su
authors: Shi-Qiang
authors: SQ
authors: Chen
authors: Xiao-Guang
authors: XG
authors: He
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003413:Cricoid Cartilage / Q000601:surgery; D003679:Deglutition; D003680:Deglutition Disorders / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007830:Larynx / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010609:Pharyngeal Muscles / Q000601:surgery*; D020127:Recovery of Function; D053120:Respiratory Aspiration / Q000209:etiology / Q000601:surgery*; D020521:Stroke / Q000150:complications*; D014132:Trachea / Q000601:surgery*; D014140:Tracheotomy