Central-part laryngectomy is a useful and less invasive surgical procedure for resolution of intractable aspiration
A novel narrow-field laryngectomy procedure known as central-part laryngectomy (CPL) for less invasive laryngeal diversion in patients with intractable aspiration is introduced. We conducted retrospective case reviews of 15 patients who underwent CPL. In this procedure, an area of the glottis includ...
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| Veröffentlicht in: | European archives of oto-rhino-laryngology 2014-05, Vol.271 (5), p.1149-1155 |
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| creator | Kawamoto, Ai Katori, Yukio Honkura, Yohei Kakuta, Risako Higashi, Kenjiro Ogura, Masaki Miyazaki, Makiko Arakawa, Kazuya Kashima, Kazutaka Asada, Yukinori Matsuura, Kazuto |
| description | A novel narrow-field laryngectomy procedure known as central-part laryngectomy (CPL) for less invasive laryngeal diversion in patients with intractable aspiration is introduced. We conducted retrospective case reviews of 15 patients who underwent CPL. In this procedure, an area of the glottis including the mid-part of the thyroid cartilage and cricoid cartilage is removed to separate the digestive tract from the air way. The lateral part of the thyroid cartilage, the entire hypopharyngeal mucosa and epiglottis are preserved. The superior laryngeal vessels and nerve are not invaded. All fifteen patients were relieved of aspiration without major complications. In good accordance with cutting of the cricopharyngeal muscles and removal of the cricoid cartilage, postoperative videofluoroscopy demonstrated smooth passages of barium. Ten of 12 patients who had hoped to resume oral food intake became able to do so after CPL and two others also achieved partial oral deglutition. CPL is a useful procedure for treatment of intractable aspiration and offers considerable advantages over other laryngotracheal diversion procedures from the view point of oral food intake. |
| doi_str_mv | 10.1007/s00405-013-2725-4 |
| format | Article |
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We conducted retrospective case reviews of 15 patients who underwent CPL. In this procedure, an area of the glottis including the mid-part of the thyroid cartilage and cricoid cartilage is removed to separate the digestive tract from the air way. The lateral part of the thyroid cartilage, the entire hypopharyngeal mucosa and epiglottis are preserved. The superior laryngeal vessels and nerve are not invaded. All fifteen patients were relieved of aspiration without major complications. In good accordance with cutting of the cricopharyngeal muscles and removal of the cricoid cartilage, postoperative videofluoroscopy demonstrated smooth passages of barium. Ten of 12 patients who had hoped to resume oral food intake became able to do so after CPL and two others also achieved partial oral deglutition. CPL is a useful procedure for treatment of intractable aspiration and offers considerable advantages over other laryngotracheal diversion procedures from the view point of oral food intake.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-013-2725-4</identifier><identifier>PMID: 24136476</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Barium Sulfate ; Cricoid Cartilage - surgery ; Deglutition Disorders - etiology ; Deglutition Disorders - surgery ; Female ; Fluoroscopy ; Glottis - surgery ; Head and Neck Surgery ; Humans ; Laryngectomy - methods ; Laryngology ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Minimally Invasive Surgical Procedures - methods ; Neurosurgery ; Otorhinolaryngology ; Postoperative Complications - diagnosis ; Respiratory Aspiration - diagnosis ; Respiratory Aspiration - surgery ; Retrospective Studies ; Thyroid Cartilage - surgery</subject><ispartof>European archives of oto-rhino-laryngology, 2014-05, Vol.271 (5), p.1149-1155</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-e4c0382ae2d653c96c9ba583cc1bbf13e615f3aa9b1c33d01dd573af305069da3</citedby><cites>FETCH-LOGICAL-c410t-e4c0382ae2d653c96c9ba583cc1bbf13e615f3aa9b1c33d01dd573af305069da3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00405-013-2725-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00405-013-2725-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24136476$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kawamoto, Ai</creatorcontrib><creatorcontrib>Katori, Yukio</creatorcontrib><creatorcontrib>Honkura, Yohei</creatorcontrib><creatorcontrib>Kakuta, Risako</creatorcontrib><creatorcontrib>Higashi, Kenjiro</creatorcontrib><creatorcontrib>Ogura, Masaki</creatorcontrib><creatorcontrib>Miyazaki, Makiko</creatorcontrib><creatorcontrib>Arakawa, Kazuya</creatorcontrib><creatorcontrib>Kashima, Kazutaka</creatorcontrib><creatorcontrib>Asada, Yukinori</creatorcontrib><creatorcontrib>Matsuura, Kazuto</creatorcontrib><title>Central-part laryngectomy is a useful and less invasive surgical procedure for resolution of intractable aspiration</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>A novel narrow-field laryngectomy procedure known as central-part laryngectomy (CPL) for less invasive laryngeal diversion in patients with intractable aspiration is introduced. We conducted retrospective case reviews of 15 patients who underwent CPL. In this procedure, an area of the glottis including the mid-part of the thyroid cartilage and cricoid cartilage is removed to separate the digestive tract from the air way. The lateral part of the thyroid cartilage, the entire hypopharyngeal mucosa and epiglottis are preserved. The superior laryngeal vessels and nerve are not invaded. All fifteen patients were relieved of aspiration without major complications. In good accordance with cutting of the cricopharyngeal muscles and removal of the cricoid cartilage, postoperative videofluoroscopy demonstrated smooth passages of barium. Ten of 12 patients who had hoped to resume oral food intake became able to do so after CPL and two others also achieved partial oral deglutition. CPL is a useful procedure for treatment of intractable aspiration and offers considerable advantages over other laryngotracheal diversion procedures from the view point of oral food intake.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Barium Sulfate</subject><subject>Cricoid Cartilage - surgery</subject><subject>Deglutition Disorders - etiology</subject><subject>Deglutition Disorders - surgery</subject><subject>Female</subject><subject>Fluoroscopy</subject><subject>Glottis - surgery</subject><subject>Head and Neck Surgery</subject><subject>Humans</subject><subject>Laryngectomy - methods</subject><subject>Laryngology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Neurosurgery</subject><subject>Otorhinolaryngology</subject><subject>Postoperative Complications - diagnosis</subject><subject>Respiratory Aspiration - diagnosis</subject><subject>Respiratory Aspiration - surgery</subject><subject>Retrospective Studies</subject><subject>Thyroid Cartilage - surgery</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1vFDEQhi1ERI7AD6BBLmkM46_dbIlOkCBFoiG1NeudjTbyrQ_POlL-PT5doKSaYp731cwjxAcNnzVA_4UBHHgF2irTG6_cK7HTzjrletO9FjsYbK-c6_tL8Zb5EQC8G-wbcWmctp3ru53gPa1bwaSOWDaZsDyvDxS3fHiWC0uUlWmuSeI6yUTMclmfkJcnklzLwxIxyWPJkaZaSM65yEKcU92WvMo8N7p1xw3HRBL5uBQ8bd6JixkT0_uXeSXuv3_7tb9Vdz9vfuy_3qnoNGyKXAR7bZDM1Hkbhy4OI_prG6Mex1lb6rSfLeIw6mjtBHqafG9xtuChGya0V-LTubed-LsSb-GwcKSUcKVcOWivnTOD1aah-ozGkpkLzeFYlkOzETSEk-twdh2a63ByHVzLfHypr-OBpn-Jv3IbYM4At1XTWsJjrmVtL_-n9Q_oHoxX</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Kawamoto, Ai</creator><creator>Katori, Yukio</creator><creator>Honkura, Yohei</creator><creator>Kakuta, Risako</creator><creator>Higashi, Kenjiro</creator><creator>Ogura, Masaki</creator><creator>Miyazaki, Makiko</creator><creator>Arakawa, Kazuya</creator><creator>Kashima, Kazutaka</creator><creator>Asada, Yukinori</creator><creator>Matsuura, Kazuto</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140501</creationdate><title>Central-part laryngectomy is a useful and less invasive surgical procedure for resolution of intractable aspiration</title><author>Kawamoto, Ai ; Katori, Yukio ; Honkura, Yohei ; Kakuta, Risako ; Higashi, Kenjiro ; Ogura, Masaki ; Miyazaki, Makiko ; Arakawa, Kazuya ; Kashima, Kazutaka ; Asada, Yukinori ; Matsuura, Kazuto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-e4c0382ae2d653c96c9ba583cc1bbf13e615f3aa9b1c33d01dd573af305069da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Barium Sulfate</topic><topic>Cricoid Cartilage - surgery</topic><topic>Deglutition Disorders - etiology</topic><topic>Deglutition Disorders - surgery</topic><topic>Female</topic><topic>Fluoroscopy</topic><topic>Glottis - surgery</topic><topic>Head and Neck Surgery</topic><topic>Humans</topic><topic>Laryngectomy - methods</topic><topic>Laryngology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Neurosurgery</topic><topic>Otorhinolaryngology</topic><topic>Postoperative Complications - diagnosis</topic><topic>Respiratory Aspiration - diagnosis</topic><topic>Respiratory Aspiration - surgery</topic><topic>Retrospective Studies</topic><topic>Thyroid Cartilage - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kawamoto, Ai</creatorcontrib><creatorcontrib>Katori, Yukio</creatorcontrib><creatorcontrib>Honkura, Yohei</creatorcontrib><creatorcontrib>Kakuta, Risako</creatorcontrib><creatorcontrib>Higashi, Kenjiro</creatorcontrib><creatorcontrib>Ogura, Masaki</creatorcontrib><creatorcontrib>Miyazaki, Makiko</creatorcontrib><creatorcontrib>Arakawa, Kazuya</creatorcontrib><creatorcontrib>Kashima, Kazutaka</creatorcontrib><creatorcontrib>Asada, Yukinori</creatorcontrib><creatorcontrib>Matsuura, Kazuto</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kawamoto, Ai</au><au>Katori, Yukio</au><au>Honkura, Yohei</au><au>Kakuta, Risako</au><au>Higashi, Kenjiro</au><au>Ogura, Masaki</au><au>Miyazaki, Makiko</au><au>Arakawa, Kazuya</au><au>Kashima, Kazutaka</au><au>Asada, Yukinori</au><au>Matsuura, Kazuto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Central-part laryngectomy is a useful and less invasive surgical procedure for resolution of intractable aspiration</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>271</volume><issue>5</issue><spage>1149</spage><epage>1155</epage><pages>1149-1155</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><abstract>A novel narrow-field laryngectomy procedure known as central-part laryngectomy (CPL) for less invasive laryngeal diversion in patients with intractable aspiration is introduced. We conducted retrospective case reviews of 15 patients who underwent CPL. In this procedure, an area of the glottis including the mid-part of the thyroid cartilage and cricoid cartilage is removed to separate the digestive tract from the air way. The lateral part of the thyroid cartilage, the entire hypopharyngeal mucosa and epiglottis are preserved. The superior laryngeal vessels and nerve are not invaded. All fifteen patients were relieved of aspiration without major complications. In good accordance with cutting of the cricopharyngeal muscles and removal of the cricoid cartilage, postoperative videofluoroscopy demonstrated smooth passages of barium. Ten of 12 patients who had hoped to resume oral food intake became able to do so after CPL and two others also achieved partial oral deglutition. CPL is a useful procedure for treatment of intractable aspiration and offers considerable advantages over other laryngotracheal diversion procedures from the view point of oral food intake.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24136476</pmid><doi>10.1007/s00405-013-2725-4</doi><tpages>7</tpages></addata></record> |
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| ispartof | European archives of oto-rhino-laryngology, 2014-05, Vol.271 (5), p.1149-1155 |
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| subjects | Adult Aged Aged, 80 and over Barium Sulfate Cricoid Cartilage - surgery Deglutition Disorders - etiology Deglutition Disorders - surgery Female Fluoroscopy Glottis - surgery Head and Neck Surgery Humans Laryngectomy - methods Laryngology Male Medicine Medicine & Public Health Middle Aged Minimally Invasive Surgical Procedures - methods Neurosurgery Otorhinolaryngology Postoperative Complications - diagnosis Respiratory Aspiration - diagnosis Respiratory Aspiration - surgery Retrospective Studies Thyroid Cartilage - surgery |
| title | Central-part laryngectomy is a useful and less invasive surgical procedure for resolution of intractable aspiration |
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