Surgical closure of the larynx for intractable aspiration pneumonia: cannula-free care and minimizing the risk of developing trachea-innominate artery fistula

Kazuya Ise; Makoto Kano; Michitoshi Yamashita; Show Ishii; Hirofumi Shimizu; Kei Nakayama; Mitsukazu Gotoh

doi:10.1007/s00383-015-3780-2

Surgical closure of the larynx for intractable aspiration pneumonia: cannula-free care and minimizing the risk of developing trachea-innominate artery fistula

Pediatr Surg Int. 2015 Oct;31(10):987-90. doi: 10.1007/s00383-015-3780-2. Epub 2015 Aug 15.

Authors

Kazuya Ise¹, Makoto Kano², Michitoshi Yamashita³, Show Ishii³, Hirofumi Shimizu³, Kei Nakayama³, Mitsukazu Gotoh³

Affiliations

¹ Pediatric Surgery, Fukushima Medical University, 1 Hikarigaoka, Fukushima-shi, Fukushima, 960-1295, Japan. kise@fmu.ac.jp.
² Department of Otorhinolaryngology, Head and Neck, Ohara General Hospital, 6-11 Ohmachi, Fukushima-shi, Fukushima, 960-8611, Japan.
³ Pediatric Surgery, Fukushima Medical University, 1 Hikarigaoka, Fukushima-shi, Fukushima, 960-1295, Japan.

PMID: 26276429
DOI: 10.1007/s00383-015-3780-2

Abstract

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.

Publication types

Case Reports

MeSH terms

Child
Fistula / prevention & control*
Humans
Larynx / surgery*
Male
Pneumonia, Aspiration / complications*
Tracheal Diseases / prevention & control*