‘Steam-boat’ supraglottic laryngoplasty for treatment of chronic refractory aspiration: a modification of Biller's technique
The surgical treatment of intractable aspiration usually requires sacrifice of the patient's natural voice to prevent food entering the airway. Biller described a tubed supraglottic laryngoplasty to control aspiration while allowing patients to phonate with their larynx. Our preliminary experie...
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| Veröffentlicht in: | Journal of laryngology and otology 2009-12, Vol.123 (12), p.1360-1363 |
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| container_title | Journal of laryngology and otology |
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| creator | Ku, P K M Abdullah, V J Vlantis, A C Lee, K Y S van Hasselt, A C Tong, M C F |
| description | The surgical treatment of intractable aspiration usually requires sacrifice of the patient's natural voice to prevent food entering the airway. Biller described a tubed supraglottic laryngoplasty to control aspiration while allowing patients to phonate with their larynx. Our preliminary experience with this technique in Chinese patients has been disappointing, as tension in the mucosa on wound closure led to wound dehiscence. Our objective was to modify Biller's technique in order to achieve a better outcome.
We modified Biller's technique by trimming the epiglottic cartilage and by inserting a tibial periosteal graft to reinforce closure of the mucosa, creating an arrangement resembling a Chinese steam boat.
Three Chinese patients underwent the modified Biller's technique. No wound dehiscence occurred, the surgery controlled aspiration, and the patients were able to phonate with their own larynx. All patients resumed oral feeding, and previously placed gastrostomy tubes were removed.
The 'steam-boat' supraglottic laryngoplasty is a viable surgical alternative to total laryngectomy or tracheal diversion for controlling intractable aspiration, and preserves a phonating larynx. |
| doi_str_mv | 10.1017/S0022215109990351 |
| format | Article |
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We modified Biller's technique by trimming the epiglottic cartilage and by inserting a tibial periosteal graft to reinforce closure of the mucosa, creating an arrangement resembling a Chinese steam boat.
Three Chinese patients underwent the modified Biller's technique. No wound dehiscence occurred, the surgery controlled aspiration, and the patients were able to phonate with their own larynx. All patients resumed oral feeding, and previously placed gastrostomy tubes were removed.
The 'steam-boat' supraglottic laryngoplasty is a viable surgical alternative to total laryngectomy or tracheal diversion for controlling intractable aspiration, and preserves a phonating larynx.</description><identifier>ISSN: 0022-2151</identifier><identifier>EISSN: 1748-5460</identifier><identifier>DOI: 10.1017/S0022215109990351</identifier><identifier>PMID: 19566976</identifier><identifier>CODEN: JLOTAX</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Aspiration ; Biological and medical sciences ; Cartilage ; Chronic Disease ; Deglutition - physiology ; Dysphagia ; Epiglottis ; Humans ; Laryngeal Diseases - surgery ; Laryngectomy - methods ; Laryngoplasty ; Larynx ; Larynx - surgery ; Medical sciences ; Ostomy ; Otorhinolaryngology. Stomatology ; Patients ; Respiratory Aspiration - surgery ; Skin ; Surgery ; Surgical Wound Dehiscence - prevention & control ; Sutures ; Swallowing ; Thyroid gland ; Tracheotomy ; Treatment ; Treatment Outcome ; Voice Quality</subject><ispartof>Journal of laryngology and otology, 2009-12, Vol.123 (12), p.1360-1363</ispartof><rights>Copyright © JLO (1984) Limited 2009</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-fdaadcdbe111f6239a80d254c396591286d7bb1a4b8e95012856d2b5261d82d73</citedby><cites>FETCH-LOGICAL-c439t-fdaadcdbe111f6239a80d254c396591286d7bb1a4b8e95012856d2b5261d82d73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0022215109990351/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,776,780,27901,27902,55603</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22189552$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19566976$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ku, P K M</creatorcontrib><creatorcontrib>Abdullah, V J</creatorcontrib><creatorcontrib>Vlantis, A C</creatorcontrib><creatorcontrib>Lee, K Y S</creatorcontrib><creatorcontrib>van Hasselt, A C</creatorcontrib><creatorcontrib>Tong, M C F</creatorcontrib><title>‘Steam-boat’ supraglottic laryngoplasty for treatment of chronic refractory aspiration: a modification of Biller's technique</title><title>Journal of laryngology and otology</title><addtitle>J. Laryngol. Otol</addtitle><description>The surgical treatment of intractable aspiration usually requires sacrifice of the patient's natural voice to prevent food entering the airway. Biller described a tubed supraglottic laryngoplasty to control aspiration while allowing patients to phonate with their larynx. Our preliminary experience with this technique in Chinese patients has been disappointing, as tension in the mucosa on wound closure led to wound dehiscence. Our objective was to modify Biller's technique in order to achieve a better outcome.
We modified Biller's technique by trimming the epiglottic cartilage and by inserting a tibial periosteal graft to reinforce closure of the mucosa, creating an arrangement resembling a Chinese steam boat.
Three Chinese patients underwent the modified Biller's technique. No wound dehiscence occurred, the surgery controlled aspiration, and the patients were able to phonate with their own larynx. All patients resumed oral feeding, and previously placed gastrostomy tubes were removed.
The 'steam-boat' supraglottic laryngoplasty is a viable surgical alternative to total laryngectomy or tracheal diversion for controlling intractable aspiration, and preserves a phonating larynx.</description><subject>Aspiration</subject><subject>Biological and medical sciences</subject><subject>Cartilage</subject><subject>Chronic Disease</subject><subject>Deglutition - physiology</subject><subject>Dysphagia</subject><subject>Epiglottis</subject><subject>Humans</subject><subject>Laryngeal Diseases - surgery</subject><subject>Laryngectomy - methods</subject><subject>Laryngoplasty</subject><subject>Larynx</subject><subject>Larynx - surgery</subject><subject>Medical sciences</subject><subject>Ostomy</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Patients</subject><subject>Respiratory Aspiration - surgery</subject><subject>Skin</subject><subject>Surgery</subject><subject>Surgical Wound Dehiscence - prevention & control</subject><subject>Sutures</subject><subject>Swallowing</subject><subject>Thyroid gland</subject><subject>Tracheotomy</subject><subject>Treatment</subject><subject>Treatment Outcome</subject><subject>Voice Quality</subject><issn>0022-2151</issn><issn>1748-5460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc1u1DAUhS0EokPhAdggCwl1FfBPbMfsyogWxEj8tKwtx3amLkkcbEdidvMY8Hp9EjzMqJVArCz7fOf63nsAeIrRS4yweHWBECEEM4yklIgyfA8ssKibitUc3QeLnVzt9CPwKKVrhIoJkYfgCEvGuRR8AbY3258X2emhaoPON9tfMM1T1Os-5OwN7HXcjOsw9TrlDexChDk6nQc3Zhg6aK5iGAsWXRe1ySFuoE6Tjzr7ML6GGg7B-s6bP_ed4Y3vexdPEszOXI3---wegwed7pN7cjiPwdezt5fLd9Xq4_n75emqMjWVueqs1tbY1mGMO06o1A2yhNWGSs4kJg23om2xrtvGSYbKA-OWtIxwbBtiBT0GJ_u6Uwzl25TV4JNxfa9HF-akBKVC4lrKQj7_i7wOcxxLc4qU5VIiKC8Q3kMmhpTK_GqKfijbUhipXTjqn3CK59mh8NwOzt45DmkU4MUB0Mnovux0ND7dcqVaIxkjhav2nE_Z_bjVdfymuKCCKX7-WX349GV1dlk3all4emhWD230du3uRvp_u78BN0a4Zg</recordid><startdate>20091201</startdate><enddate>20091201</enddate><creator>Ku, P K M</creator><creator>Abdullah, V J</creator><creator>Vlantis, A C</creator><creator>Lee, K Y S</creator><creator>van Hasselt, A C</creator><creator>Tong, M C F</creator><general>Cambridge University Press</general><scope>BSCLL</scope><scope>IQODW</scope><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>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20091201</creationdate><title>‘Steam-boat’ supraglottic laryngoplasty for treatment of chronic refractory aspiration: a modification of Biller's technique</title><author>Ku, P K M ; Abdullah, V J ; Vlantis, A C ; Lee, K Y S ; van Hasselt, A C ; Tong, M C F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-fdaadcdbe111f6239a80d254c396591286d7bb1a4b8e95012856d2b5261d82d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aspiration</topic><topic>Biological and medical sciences</topic><topic>Cartilage</topic><topic>Chronic Disease</topic><topic>Deglutition - physiology</topic><topic>Dysphagia</topic><topic>Epiglottis</topic><topic>Humans</topic><topic>Laryngeal Diseases - surgery</topic><topic>Laryngectomy - methods</topic><topic>Laryngoplasty</topic><topic>Larynx</topic><topic>Larynx - surgery</topic><topic>Medical sciences</topic><topic>Ostomy</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Patients</topic><topic>Respiratory Aspiration - surgery</topic><topic>Skin</topic><topic>Surgery</topic><topic>Surgical Wound Dehiscence - prevention & control</topic><topic>Sutures</topic><topic>Swallowing</topic><topic>Thyroid gland</topic><topic>Tracheotomy</topic><topic>Treatment</topic><topic>Treatment Outcome</topic><topic>Voice Quality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ku, P K M</creatorcontrib><creatorcontrib>Abdullah, V J</creatorcontrib><creatorcontrib>Vlantis, A C</creatorcontrib><creatorcontrib>Lee, K Y S</creatorcontrib><creatorcontrib>van Hasselt, A C</creatorcontrib><creatorcontrib>Tong, M C F</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of laryngology and otology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ku, P K M</au><au>Abdullah, V J</au><au>Vlantis, A C</au><au>Lee, K Y S</au><au>van Hasselt, A C</au><au>Tong, M C F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>‘Steam-boat’ supraglottic laryngoplasty for treatment of chronic refractory aspiration: a modification of Biller's technique</atitle><jtitle>Journal of laryngology and otology</jtitle><addtitle>J. Laryngol. Otol</addtitle><date>2009-12-01</date><risdate>2009</risdate><volume>123</volume><issue>12</issue><spage>1360</spage><epage>1363</epage><pages>1360-1363</pages><issn>0022-2151</issn><eissn>1748-5460</eissn><coden>JLOTAX</coden><abstract>The surgical treatment of intractable aspiration usually requires sacrifice of the patient's natural voice to prevent food entering the airway. Biller described a tubed supraglottic laryngoplasty to control aspiration while allowing patients to phonate with their larynx. Our preliminary experience with this technique in Chinese patients has been disappointing, as tension in the mucosa on wound closure led to wound dehiscence. Our objective was to modify Biller's technique in order to achieve a better outcome.
We modified Biller's technique by trimming the epiglottic cartilage and by inserting a tibial periosteal graft to reinforce closure of the mucosa, creating an arrangement resembling a Chinese steam boat.
Three Chinese patients underwent the modified Biller's technique. No wound dehiscence occurred, the surgery controlled aspiration, and the patients were able to phonate with their own larynx. All patients resumed oral feeding, and previously placed gastrostomy tubes were removed.
The 'steam-boat' supraglottic laryngoplasty is a viable surgical alternative to total laryngectomy or tracheal diversion for controlling intractable aspiration, and preserves a phonating larynx.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>19566976</pmid><doi>10.1017/S0022215109990351</doi><tpages>4</tpages></addata></record> |
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| subjects | Aspiration Biological and medical sciences Cartilage Chronic Disease Deglutition - physiology Dysphagia Epiglottis Humans Laryngeal Diseases - surgery Laryngectomy - methods Laryngoplasty Larynx Larynx - surgery Medical sciences Ostomy Otorhinolaryngology. Stomatology Patients Respiratory Aspiration - surgery Skin Surgery Surgical Wound Dehiscence - prevention & control Sutures Swallowing Thyroid gland Tracheotomy Treatment Treatment Outcome Voice Quality |
| title | ‘Steam-boat’ supraglottic laryngoplasty for treatment of chronic refractory aspiration: a modification of Biller's technique |
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