Laryngotracheal closure and cricopharyngeal myotomy for intractable aspiration and dysphagia secondary to cerebrovascular accident.
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.
Qu
Shen-Hong
SH
Department of Otolaryngology, People's Hospital of GuangXi Zhuang Autonomous Region, Nanning, PR China. qshdoctor@163.com
Li
Min
M
Liang
Jian-Ping
JP
Su
Zheng-Zhong
ZZ
Chen
Shi-Qiang
SQ
He
Xiao-Guang
XG
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