There is a risk of developing a fatal trachea-innominate artery fistula following laryngotracheal separation for the prevention of intractable aspiration pneumonia. We developed a novel technique of surgical closure of the larynx to avoid this complication and provide long-term cannula-free care.
Keywords: Aspiration pneumonia; Laryngotracheal separation; Surgical closure of the larynx; Trachea–innominate artery fistula.