title: [Safety and efficacy of surgical closure of the larynx for recurrent aspiration pneumonia in persons with severe motor and intellectual disabilities: a comparative study with tracheoesophageal diversion].
abstract: OBJECTIVE
  We retrospectively investigated the efficacy and complications of surgical closure of the larynx (SCL) for recurrent aspiration pneumonia in comparison with tracheoesophageal diversion.
  
  
  METHODS
  The subjects were persons with severe motor and intellectual disabilities (SMID) who had undergone surgery for recurrent aspiration pneumonia between 1994 and 2011: A 8 SCL patients group and a 16 tracheoesophageal diversion patients group. We investigated two groups the lower respiratory infection incidence, length of hospital stay for the surgery, postoperative complications, and rate of cannula withdrawal, by reviewing medical records.
  
  
  RESULTS
  Both the SCL and the tracheoesophageal diversion group showed a reduction in the incidence of infection after surgery, indicating that the efficacy of SCL was equivalent to that of tracheoesophageal diversion in preventing aspiration pneumonea. The SCL group showed a reduction in the length of hospital stay and an increased rate of cannula withdrawal as compared with the tracheoesophageal diversion group.
  
  
  CONCLUSIONS
  The efficacy of SCL was equivalent to that of tracheoesophageal diversion in preventing aspiration for SMID. We consider SLC to have potential for reducing the burden on patients.
authors.forename: Sakiko
authors.initials: S
authors.lastname: Oshima
authors.forename: Yukikatsu
authors.initials: Y
authors.lastname: Ochiai
authors.forename: Masamichi
authors.initials: M
authors.lastname: Ariga
authors.forename: Mika
authors.initials: M
authors.lastname: Hayakawa
authors.forename: Masami
authors.initials: M
authors.lastname: Kanno
authors.forename: Chisen
authors.initials: C
authors.lastname: Takeuchi
authors.forename: Hideto
authors.initials: H
authors.lastname: Saigusa
authors.forename: Masayuki
authors.initials: M
authors.lastname: Imai
authors.forename: Shin-ichiro
authors.initials: S
authors.lastname: Hamano
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003680:Deglutition Disorders / Q000150:complications; D005260:Female; D020233:Gait Disorders, Neurologic / Q000150:complications*; D006801:Humans; D008607:Intellectual Disability / Q000150:complications*; D007830:Larynx / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011015:Pneumonia, Aspiration / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications; D012008:Recurrence; D012307:Risk Factors; D055815:Young Adult